| Your Community Health & Wellness | |
|
1087 Alice Ave Memphis TN 38106-6543 | |
| (901) 271-5379 | |
| (901) 261-6144 |
| Full Name | Your Community Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1087 Alice Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Florence Hervery (CEO) |
| Authorized Official Contact | 9018215835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Community Health & Wellness 1087 Alice Ave Memphis TN 38106-6543 Ph: (901) 271-5379 | Your Community Health & Wellness 1087 Alice Ave Memphis TN 38106-6543 Ph: (901) 271-5379 |
| NPI Number | 1154793727 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 03/14/2019 |
| Medicare PECOS PAC ID | 0345541884 |
|---|---|
| Medicare Enrollment ID | O20151229000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154793727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Nilay B Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619397957 PECOS PAC ID: 2466776760 Enrollment ID: I20150114002037 |
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