| Advanced Practice Alliance, Llc | |
|
1508 Tombras Ave East Ridge TN 37412-2720 | |
| (423) 867-4969 | |
| (423) 805-4213 |
| Full Name | Advanced Practice Alliance, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1508 Tombras Ave, East Ridge, Tennessee |
| Authorized Official Name and Position | Laurie D Davis (ADMINISTRATOR) |
| Authorized Official Contact | 4238674969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Practice Alliance, Llc 1508 Tombras Ave East Ridge TN 37412-2720 Ph: (423) 867-4969 | Advanced Practice Alliance, Llc 1508 Tombras Ave East Ridge TN 37412-2720 Ph: (423) 867-4969 |
| NPI Number | 1336950807 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 03/20/2025 |
| Medicare PECOS PAC ID | 7416472782 |
|---|---|
| Medicare Enrollment ID | O20250418001513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336950807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce Allen Pendley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881634483 PECOS PAC ID: 6709798010 Enrollment ID: I20050405001048 |
| Provider Name | Valentina Raney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992496673 PECOS PAC ID: 4688031321 Enrollment ID: I20230612000895 |
Your Good Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 | |
Benchmark Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1467 N Mack Smith Rd, East Ridge, TN 37412 Phone: 423-894-4403 Fax: 423-894-4513 |