| Medsouth Medical Center, Dyersburg | |
|
1720 Woodlawn Ave Ste 1 Dyersburg TN 38024-1300 | |
| (731) 287-4500 | |
| (731) 287-4804 |
| Full Name | Medsouth Medical Center, Dyersburg |
|---|---|
| Speciality | Clinic/Center |
| Location | 1720 Woodlawn Ave Ste 1, Dyersburg, Tennessee |
| Authorized Official Name and Position | Tina Prescott (PRESIDENT AND CEO) |
| Authorized Official Contact | 7315415000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medsouth Medical Center, Dyersburg 1720 Woodlawn Ave Ste 1 Dyersburg TN 38024-1300 Ph: (731) 287-4500 | Medsouth Medical Center, Dyersburg 1720 Woodlawn Ave Ste 1 Dyersburg TN 38024-1300 Ph: (731) 287-4500 |
| NPI Number | 1427604198 |
|---|---|
| Provider Enumeration Date | 08/17/2019 |
| Last Update Date | 10/14/2024 |
| Medicare PECOS PAC ID | 1951650613 |
|---|---|
| Medicare Enrollment ID | O20191017001548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427604198 | NPI | - | NPPES |
| 044-8918 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Hometown Urgent Care Of Dyersburg Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2550 Parr Ave, Dyersburg, TN 38024 Phone: 731-325-5678 | |
Mid-south Convenient Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024 Phone: 731-286-1900 Fax: 731-286-1900 | |
Grace Family Practice Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Parr Ave Ste D, Dyersburg, TN 38024 Phone: 731-288-0911 Fax: 731-288-0065 | |
Dyersburg Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Tickle St, Dyersburg, TN 38024 Phone: 731-288-7250 Fax: 731-288-7258 | |
Bcp 1, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Parr Ave Ste 9, Dyersburg, TN 38024 Phone: 731-285-0844 | |
Dyersburg Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Tickle St, Dyersburg, TN 38024 Phone: 731-287-2400 Fax: 731-285-9545 | |
Digestive Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1067 Vendall Rd, Dyersburg, TN 38024 Phone: 731-285-5133 Fax: 731-285-9921 |