| Bethesda Clinic, Llc | |
|
124 Main St Clifton TN 38425-5544 | |
| (931) 676-5200 | |
| (931) 676-5202 |
| Full Name | Bethesda Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 Main St, Clifton, Tennessee |
| Authorized Official Name and Position | Allison Jessica Sems (OWNER) |
| Authorized Official Contact | 9316767367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethesda Clinic, Llc 118 Scenic Dr Clifton TN 38425-5333 Ph: (931) 676-7367 | Bethesda Clinic, Llc 124 Main St Clifton TN 38425-5544 Ph: (931) 676-5200 |
| NPI Number | 1417505108 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 10/06/2023 |
| Medicare PECOS PAC ID | 1153742374 |
|---|---|
| Medicare Enrollment ID | O20201007002846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417505108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Christie Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073023198 PECOS PAC ID: 3375808439 Enrollment ID: I20180521002612 |
| Provider Name | Tonya Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265898282 PECOS PAC ID: 5294030128 Enrollment ID: I20180731000487 |
Lifespan Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 Main St, Clifton, TN 38425 Phone: 931-676-3245 |