| Tennova Newport-4th Street | |
|
434 4th St Ste 305 Newport TN 37821-3735 | |
| (423) 613-6381 | |
| (423) 613-6382 |
| Full Name | Tennova Newport-4th Street |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 434 4th St Ste 305, Newport, Tennessee |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennova Newport-4th Street 435 2nd St Newport TN 37821-3703 Ph: (423) 625-2200 | Tennova Newport-4th Street 434 4th St Ste 305 Newport TN 37821-3735 Ph: (423) 613-6381 |
| NPI Number | 1114564432 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114564432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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