| Bh Services Southeast 1 Pc | |
|
2565 N Washington Ave Brownsville TN 38012-1610 | |
| (731) 772-4199 | |
| Not Available |
| Full Name | Bh Services Southeast 1 Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2565 N Washington Ave, Brownsville, Tennessee |
| Authorized Official Name and Position | Sandra Bakerink (DIRECTOR, PROVIDER ENROLLMENT/AO) |
| Authorized Official Contact | 8655001325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bh Services Southeast 1 Pc 265 Brookview Centre Way Ste 203 Knoxville TN 37919-4052 Ph: () - | Bh Services Southeast 1 Pc 2565 N Washington Ave Brownsville TN 38012-1610 Ph: (731) 772-4199 |
| NPI Number | 1386488922 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 12/04/2024 |
| Medicare PECOS PAC ID | 7012457054 |
|---|---|
| Medicare Enrollment ID | O20240905002009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386488922 | NPI | - | NPPES |
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