| Mckenzie Medical Center Pc | |
|
205c Hospital Dr Mc Kenzie TN 38201-1649 | |
| (731) 352-7907 | |
| (833) 690-3848 |
| Full Name | Mckenzie Medical Center Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 205c Hospital Dr, Mc Kenzie, Tennessee |
| Authorized Official Name and Position | Tammy Etheridge (CHIEF OPERATING OFFICE) |
| Authorized Official Contact | 7313527907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie Medical Center Pc 205a Hospital Dr Mc Kenzie TN 38201-1649 Ph: (731) 352-7907 | Mckenzie Medical Center Pc 205c Hospital Dr Mc Kenzie TN 38201-1649 Ph: (731) 352-7907 |
| NPI Number | 1679195036 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679195036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Behavioral Health And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21205 Highway 22, Mc Kenzie, TN 38201 Phone: 731-352-1401 Fax: 731-352-1402 | |
Mckenzie Medical Center Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 205a Hospital Dr, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 833-690-3848 | |
Greene Behavioral Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16860 Highland Dr, Mc Kenzie, TN 38201 Phone: 731-393-0450 Fax: 731-393-0451 |