| Rural Health Services Consortium Of Upper East Tennessee Inc | |
|
1826 N Main Ave Erwin TN 37650-8932 | |
| (423) 743-6135 | |
| (423) 743-0035 |
| Full Name | Rural Health Services Consortium Of Upper East Tennessee Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1826 N Main Ave, Erwin, Tennessee |
| Authorized Official Name and Position | Linda W Buck (CEO) |
| 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 1826 N Main Ave Erwin TN 37650-8932 Ph: (423) 743-6135 |
| NPI Number | 1396745162 |
|---|---|
| Provider Enumeration Date | 07/22/2005 |
| Last Update Date | 10/10/2008 |
| Medicare PECOS PAC ID | 0941118111 |
|---|---|
| Medicare Enrollment ID | O20080929000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396745162 | NPI | - | NPPES |
| 3703868 | Other | CIGNA MEDICARE | |
| 020021000 | Other | BLACKLUNG | |
| 002 | Other | CHAMPUS PROVIDER | |
| 4122525 | Other | TN | BLUECROSS BLUESHIELD |
| 4448096 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Tlc Mobile Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 N Main Ave, Erwin, TN 37650 Phone: 423-491-9741 Fax: 423-220-3211 | |
Cumberland Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Oneega Ln, Suite D, Erwin, TN 37650 Phone: 423-743-5194 Fax: 423-743-7125 | |
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