Vanderbilt Integrated Primary Care Wartrace | |
507 Blackman Blvd W Wartrace TN 37183-2210 | |
(931) 389-0600 | |
Not Available |
Full Name | Vanderbilt Integrated Primary Care Wartrace |
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Speciality | Clinic/Center |
Location | 507 Blackman Blvd W, Wartrace, Tennessee |
Authorized Official Name and Position | Angela L Simmons (VP - FINANCE) |
Authorized Official Contact | 6159368875 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vanderbilt Integrated Primary Care Wartrace 3841 Green Hills Village Dr Ste 200 Nashville TN 37215-2691 Ph: () - | Vanderbilt Integrated Primary Care Wartrace 507 Blackman Blvd W Wartrace TN 37183-2210 Ph: (931) 389-0600 |
NPI Number | 1659970549 |
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Provider Enumeration Date | 10/21/2020 |
Last Update Date | 03/31/2022 |
Medicare PECOS PAC ID | 4082026695 |
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Medicare Enrollment ID | O20210108001145 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659970549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Tennova Family Care- Wartrace Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Blackman Blvd W, Wartrace, TN 37183 Phone: 931-389-0600 | |
Wartrace Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Blackman Blvd W, Wartrace, TN 37183 Phone: 931-389-0600 | |
Tennova Family Care-wartrace Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Blackman Blvd W, Wartrace, TN 37183 Phone: 931-389-0600 | |
Wartrace Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Blackman Blvd W, Wartrace, TN 37183 Phone: 931-389-0600 Fax: 931-389-6781 |