| Northeast Tennessee Health And Home Care Pllc | |
|
100 Kellogg Dr Mountain City TN 37683-4077 | |
| (423) 460-3232 | |
| (423) 460-3234 |
| Full Name | Northeast Tennessee Health And Home Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Kellogg Dr, Mountain City, Tennessee |
| Authorized Official Name and Position | Kimberly Kay Kleine (OWNER/PROVIDER) |
| Authorized Official Contact | 4234603232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Tennessee Health And Home Care Pllc 349 Highway 91 N Mountain City TN 37683-1078 Ph: (423) 291-9311 | Northeast Tennessee Health And Home Care Pllc 100 Kellogg Dr Mountain City TN 37683-4077 Ph: (423) 460-3232 |
| NPI Number | 1548886385 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 08/08/2023 |
| Medicare PECOS PAC ID | 0345665006 |
|---|---|
| Medicare Enrollment ID | O20200729001694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548886385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kimberly Kay Kleine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962979617 PECOS PAC ID: 4880932300 Enrollment ID: I20190207002921 |
Msmg Fp Im Mtn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 S Shady St, Mountain City, TN 37683 Phone: 423-727-1100 Fax: 423-727-1105 | |
Msmg Ip Services Johnson County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 S Shady St Ste A, Mountain City, TN 37683 Phone: 423-727-1103 Fax: 423-727-1140 | |
Mountain City Extended Hours Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 S Shady Street, Mountain City, TN 37683 Phone: 423-727-1150 Fax: 423-727-1152 | |
Donald F Tarr Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Cold Springs Rd, Mountain City, TN 37683 Phone: 423-727-7743 Fax: 423-727-5509 | |
Donald R Walters Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 N Church St, Mountain City, TN 37683 Phone: 423-727-7711 Fax: 423-727-0209 | |
Bhrhc Mtncity Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 S Shady St, Mountain City, TN 37683 Phone: 423-727-1103 Fax: 423-727-1140 |