| Ultimate Health Clinic Pc | |
|
1673 N Royal St Jackson TN 38301-3607 | |
| (731) 265-1997 | |
| (731) 265-0511 |
| Full Name | Ultimate Health Clinic Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1673 N Royal St, Jackson, Tennessee |
| Authorized Official Name and Position | Samuel Olaniyi Bada (OWNER) |
| Authorized Official Contact | 7312651997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Health Clinic Pc Po Box 10156 Jackson TN 38308-0102 Ph: (731) 265-1997 | Ultimate Health Clinic Pc 1673 N Royal St Jackson TN 38301-3607 Ph: (731) 265-1997 |
| NPI Number | 1669567707 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/25/2022 |
| Medicare PECOS PAC ID | 8022194703 |
|---|---|
| Medicare Enrollment ID | O20080320000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669567707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Samuel O Bada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770530586 PECOS PAC ID: 2466419783 Enrollment ID: I20041217000371 |
| Provider Name | Shirley A Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780816413 PECOS PAC ID: 9335304286 Enrollment ID: I20120627000701 |
| Provider Name | Billie Jewell Creech |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063876811 PECOS PAC ID: 0547637928 Enrollment ID: I20221028001085 |
Therapy & Learning Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32 Garland Dr, Jackson, TN 38305 Phone: 731-668-3322 Fax: 731-664-2491 | |
Wellness Clinic And Family Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Meridian Springs Dr, Jackson, TN 38301 Phone: 731-256-0526 Fax: 731-256-1720 | |
Ultimate Health Clinic North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Murray Guard Dr Ste B, Jackson, TN 38305 Phone: 731-660-0887 Fax: 731-660-9996 | |
West Tennessee Medical Group Ut Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-660-8739 | |
Ultra Health Providers Ii Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 | |
The Medical Clinic Of Jackson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 587 Skyline Dr, Jackson, TN 38301 Phone: 731-424-8922 Fax: 731-423-2922 | |
West Tennessee Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-660-8730 Fax: 731-660-8739 |