| River Valley Health | |
|
4330 Maynardville Hwy Maynardville TN 37807-3618 | |
| (865) 992-3849 | |
| (865) 992-5166 |
| Full Name | River Valley Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 4330 Maynardville Hwy, Maynardville, Tennessee |
| Authorized Official Name and Position | Parinda Khatri (CEO) |
| Authorized Official Contact | 4233179344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Health 1923 Sulphur Springs Rd Dept 100 Morristown TN 37813-5654 Ph: (866) 231-4477 | River Valley Health 4330 Maynardville Hwy Maynardville TN 37807-3618 Ph: (865) 992-3849 |
| NPI Number | 1487891594 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/09/2025 |
| Medicare PECOS PAC ID | 3577474295 |
|---|---|
| Medicare Enrollment ID | O20050301000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487891594 | NPI | - | NPPES |
| 0441846 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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