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3959 Highway 411 Madisonville TN 37354-4417 | |
(423) 442-2121 | |
(423) 545-9556 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3959 Highway 411, Madisonville, Tennessee |
Authorized Official Name and Position | Gregory Brian Cain (OWNER) |
Authorized Official Contact | 4234422121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 808 Kingston TN 37763-0808 Ph: (865) 224-7172 | 3959 Highway 411 Madisonville TN 37354-4417 Ph: (423) 442-2121 |
NPI Number | 1861780496 |
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Provider Enumeration Date | 07/18/2011 |
Last Update Date | 11/05/2024 |
Medicare PECOS PAC ID | 6507037645 |
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Medicare Enrollment ID | O20110921000012 |
Identifier | Type | State | Issuer |
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1861780496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Chota Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 | |
Wil-sav Clinical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4249 Highway 411 Ste 5, Madisonville, TN 37354 Phone: 423-442-9729 Fax: 423-442-5057 | |
Family Practice Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4233 Highway 411, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 | |
Chota Community Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 |