| Eagleville Clinic | |
|
341 South Main St. Eagleville NE 37060 | |
| (615) 274-6207 | |
| Not Available |
| Full Name | Eagleville Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 341 South Main St., Eagleville, Nebraska |
| Authorized Official Name and Position | Dennis Carter (OWNER) |
| Authorized Official Contact | 6152746207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagleville Clinic 341 South Main St Eagleville TN 37060 Ph: (615) 274-6207 | Eagleville Clinic 341 South Main St. Eagleville NE 37060 Ph: (615) 274-6207 |
| NPI Number | 1801926217 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801926217 | NPI | - | NPPES |
| 443845 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |