| East Tennessee Children's Hospital Primary Care Center, Inc. | |
|
2221 Jacksboro Pike Ste C4 La Follette TN 37766-3007 | |
| (423) 566-3488 | |
| (866) 722-3453 |
| Full Name | East Tennessee Children's Hospital Primary Care Center, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 2221 Jacksboro Pike Ste C4, La Follette, Tennessee |
| Authorized Official Name and Position | Caryn Hawthorne (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 8655418181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Tennessee Children's Hospital Primary Care Center, Inc. Po Box 15004 Knoxville TN 37901-5004 Ph: (865) 541-8895 | East Tennessee Children's Hospital Primary Care Center, Inc. 2221 Jacksboro Pike Ste C4 La Follette TN 37766-3007 Ph: (423) 566-3488 |
| NPI Number | 1366648040 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366648040 | NPI | - | NPPES |
| Q002836 | Medicaid | TN |
Eastlake Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 Jacksboro Pike, La Follette, TN 37766 Phone: 423-352-6500 Fax: 423-352-6501 | |
Mercy Cardiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 E Central Ave, Ste 102, La Follette, TN 37766 Phone: 423-907-1740 | |
Uhs Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Independence Ln Ste 200, La Follette, TN 37766 Phone: 423-562-4968 Fax: 423-562-5603 | |
Summit Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2212 Jacksboro Pike, La Follette, TN 37766 Phone: 423-566-8181 Fax: 423-562-9692 | |
Visavis Health Care Medical Group Of Tn Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 136 Davis Ln, La Follette, TN 37766 Phone: 929-491-7333 | |
Wynn Habersham Community Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1037 Stinking Creek Rd, La Follette, TN 37766 Phone: 423-784-5110 |