| Rural Health Services Consortium Of Upper East Tennessee Inc | |
|
229 Highway 19 E Bluff City TN 37618-1865 | |
| (423) 538-5116 | |
| (423) 538-3861 |
| Full Name | Rural Health Services Consortium Of Upper East Tennessee Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 229 Highway 19 E, Bluff City, Tennessee |
| Authorized Official Name and Position | Wanda Brown (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 4232729163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Services Consortium Of Upper East Tennessee Inc Po Box 850 Rogersville TN 37857-0850 Ph: (423) 272-9163 | Rural Health Services Consortium Of Upper East Tennessee Inc 229 Highway 19 E Bluff City TN 37618-1865 Ph: (423) 538-5116 |
| NPI Number | 1972503753 |
|---|---|
| Provider Enumeration Date | 07/22/2005 |
| Last Update Date | 10/10/2008 |
| Medicare PECOS PAC ID | 0941118111 |
|---|---|
| Medicare Enrollment ID | O20080930000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972503753 | NPI | - | NPPES |
| 4448150 | Medicaid | TN | |
| 020845900 | Other | BLACK LUNG | |
| 3703866 | Other | CIGNA / MEDICARE | |
| 4122525 | Other | TN | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |