| Appalachian Health Services Llc | |
|
1421 Shelby St Bristol TN 37620-2037 | |
| (205) 441-4517 | |
| Not Available |
| Full Name | Appalachian Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1421 Shelby St, Bristol, Tennessee |
| Authorized Official Name and Position | Andrew Dees (MANAGING PARTNER) |
| Authorized Official Contact | 2054414517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Health Services Llc Po Box 161 Bristol TN 37621-0161 Ph: () - | Appalachian Health Services Llc 1421 Shelby St Bristol TN 37620-2037 Ph: (205) 441-4517 |
| NPI Number | 1831921451 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 11/11/2024 |
| Certification Date | 11/11/2024 |
| Medicare PECOS PAC ID | 0244758449 |
|---|---|
| Medicare Enrollment ID | O20250520003812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831921451 | NPI | - | NPPES |
| Provider Name | John Henry Phillips |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992859706 PECOS PAC ID: 4880873694 Enrollment ID: I20120615000488 |
| Provider Name | Jonathan T. Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033437330 PECOS PAC ID: 2668789173 Enrollment ID: I20210303003495 |
| Provider Name | Travis D. Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841446325 PECOS PAC ID: 7517035843 Enrollment ID: I20210323001069 |
| Provider Name | Kayla Roberts Salva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528775400 PECOS PAC ID: 4385012640 Enrollment ID: I20221118000154 |
| Provider Name | Kayla Reasbeck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831917673 PECOS PAC ID: 3577097401 Enrollment ID: I20241114000850 |
| Provider Name | Meredith Phillips Chaffin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063659464 PECOS PAC ID: 4688195514 Enrollment ID: I20250403003725 |
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