| Falwell Medical Services Llc | |
|
215 W 6th St Cookeville TN 38501-1723 | |
| (931) 783-2850 | |
| Not Available |
| Full Name | Falwell Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 215 W 6th St, Cookeville, Tennessee |
| Authorized Official Name and Position | Harrison Falwell (OWNER) |
| Authorized Official Contact | 3019791989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Falwell Medical Services Llc 640 21st Ave N Apt 108 Nashville TN 37203-6131 Ph: () - | Falwell Medical Services Llc 215 W 6th St Cookeville TN 38501-1723 Ph: (931) 783-2850 |
| NPI Number | 1194403667 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 9830559871 |
|---|---|
| Medicare Enrollment ID | O20230721001462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194403667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Harrison Falwell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972167732 PECOS PAC ID: 8426468356 Enrollment ID: I20230307000451 |
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