| Grace Health Services Pllc | |
|
340 Main Street Copperhill TN 37317-3731 | |
| (423) 548-1000 | |
| (423) 548-1002 |
| Full Name | Grace Health Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 340 Main Street, Copperhill, Tennessee |
| Authorized Official Name and Position | Bethany C Whitener (OWNER) |
| Authorized Official Contact | 7064551478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Health Services Pllc Po Box 1175 Copperhill TN 37317-1175 Ph: (423) 548-1002 | Grace Health Services Pllc 340 Main Street Copperhill TN 37317-3731 Ph: (423) 548-1000 |
| NPI Number | 1457849457 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 11/30/2022 |
| Medicare PECOS PAC ID | 5597012286 |
|---|---|
| Medicare Enrollment ID | O20180726001837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457849457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2341 (Tennessee) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 24080 (Tennessee) | Primary |
| Provider Name | Tiffany E Boring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518254341 PECOS PAC ID: 3779753017 Enrollment ID: I20110824000623 |
| Provider Name | Constance B Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821372236 PECOS PAC ID: 1951574037 Enrollment ID: I20111107000005 |
| Provider Name | Bethany Whitener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902212913 PECOS PAC ID: 6002036217 Enrollment ID: I20180726003050 |
Family Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Medical Center Dr Ste C, Copperhill, TN 37317 Phone: 423-548-1500 Fax: 423-548-1604 | |
Copper Basin Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Medical Center Dr, Bldg. C, Copperhill, TN 37317 Phone: 423-496-5511 Fax: 423-548-1520 | |
Copper Basin Family Practice Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Medical Center Dr, Bldg C, Copperhill, TN 37317 Phone: 423-496-1788 Fax: 423-496-1776 | |
Ocoee Regional Health Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Cougar Dr, Copperhill, TN 37317 Phone: 423-338-8995 Fax: 423-338-8996 | |
Doctors Of General Practice And Healing Arts, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 144 Medical Center Dr Ste D2, Copperhill, TN 37317 Phone: 423-548-2000 Fax: 423-548-2002 | |
Mahmood A Siddiqui Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 144 Medical Center Dr. #b, Copperhill, TN 37317 Phone: 423-496-9214 Fax: 423-496-7809 |