| State Of Tennessee | |
|
710 N Main St Clinton TN 37716-3143 | |
| (865) 425-8800 | |
| (865) 463-7950 |
| Full Name | State Of Tennessee |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 710 N Main St, Clinton, Tennessee |
| Authorized Official Name and Position | Marianne F Sharp (REGIONAL ACCOUNTANT) |
| Authorized Official Contact | 8655495266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Tennessee Po Box 59019 Knoxville TN 37950-9019 Ph: (865) 425-8800 | State Of Tennessee 710 N Main St Clinton TN 37716-3143 Ph: (865) 425-8800 |
| NPI Number | 1427102177 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427102177 | NPI | - | NPPES |
| 9408 | Other | TN | BLUECROSS BLUESHIELD |
| 4447838 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Proactive Md Tn Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St Rm 105, Clinton, TN 37716 Phone: 865-350-5225 | |
Campbell County Hma Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2200 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 423-566-6872 Fax: 423-566-6871 | |
Independent Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716 Phone: 865-457-0192 Fax: 865-457-2284 | |
Cherokee Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 165 Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-934-6150 Fax: 865-342-0150 | |
Premise Health Of Tennessee Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St Rm 105, Clinton, TN 37716 Phone: 865-259-6900 | |
East Tennessee Children's Hospital Primary Care Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 N Charles G Seivers Blvd Ste 4, Clinton, TN 37716 Phone: 865-457-4044 Fax: 866-699-4833 |