| Amg-crockett, Llc | |
|
722 N Military St Loretto TN 38469-2336 | |
| (931) 853-6970 | |
| (931) 853-6974 |
| Full Name | Amg-crockett, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 722 N Military St, Loretto, Tennessee |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amg-crockett, Llc 330 Seven Springs Way Atten: Provider Enrollment Brentwood TN 37027-5098 Ph: (615) 920-7782 | Amg-crockett, Llc 722 N Military St Loretto TN 38469-2336 Ph: (931) 853-6970 |
| NPI Number | 1811543929 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 09/12/2024 |
| Medicare PECOS PAC ID | 4789770199 |
|---|---|
| Medicare Enrollment ID | O20210303002883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811543929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Crockett Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 N Military St, Loretto, TN 38469 Phone: 931-853-6970 Fax: 931-853-6974 | |
Ecm Health Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 722 N Miliary St, Loretto, TN 38469 Phone: 931-853-6970 Fax: 256-767-3077 | |
Matthew E. Schantz, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 S Military St Ste 1, Loretto, TN 38469 Phone: 931-853-6136 Fax: 931-853-6137 | |
Ecm Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 N Military St, Loretto, TN 38469 Phone: 931-853-6970 Fax: 256-767-3077 | |
Amg Crockett Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 S Military Ave, Loretto, TN 38469 Phone: 931-853-4622 Fax: 931-853-4621 |