| Erlanger Premier Healthcare Center | |
|
251 N Lyerly St Ste 300 Chattanooga TN 37404-2743 | |
| (423) 778-4712 | |
| Not Available |
| Full Name | Erlanger Premier Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 251 N Lyerly St Ste 300, Chattanooga, Tennessee |
| Authorized Official Name and Position | James Britton Tabor (EXECUTIVE VP & CFO/TREASURER) |
| Authorized Official Contact | 4237787729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erlanger Premier Healthcare Center 975 E 3rd St Chattanooga TN 37403-2147 Ph: (423) 778-4780 | Erlanger Premier Healthcare Center 251 N Lyerly St Ste 300 Chattanooga TN 37404-2743 Ph: (423) 778-4712 |
| NPI Number | 1215172879 |
|---|---|
| Provider Enumeration Date | 12/11/2008 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 0547179731 |
|---|---|
| Medicare Enrollment ID | O20090206000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215172879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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