| Family Health, Llc | |
|
106 Main St Mc Ewen TN 37101-4590 | |
| (931) 622-1230 | |
| Not Available |
| Full Name | Family Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Main St, Mc Ewen, Tennessee |
| Authorized Official Name and Position | Tracey Machell Hooper (OWNER) |
| Authorized Official Contact | 9316221230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health, Llc 106 Main St Mc Ewen TN 37101-4590 Ph: (931) 622-1230 | Family Health, Llc 106 Main St Mc Ewen TN 37101-4590 Ph: (931) 622-1230 |
| NPI Number | 1700284825 |
|---|---|
| Provider Enumeration Date | 12/06/2014 |
| Last Update Date | 12/06/2014 |
| Medicare PECOS PAC ID | 8820314859 |
|---|---|
| Medicare Enrollment ID | O20150310000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700284825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19386 (Tennessee) | Primary |
| Provider Name | Tracey Machell Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306242326 PECOS PAC ID: 9739405762 Enrollment ID: I20150310000735 |
Lutz Family Care Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Main St, Mc Ewen, TN 37101 Phone: 931-582-8820 Fax: 931-582-8970 |