| Live Well Medical Clinic & Spa | |
|
117 W Commercial Ave Monterey TN 38574-1107 | |
| (931) 839-6642 | |
| (931) 839-6643 |
| Full Name | Live Well Medical Clinic & Spa |
|---|---|
| Speciality | Family Medicine |
| Location | 117 W Commercial Ave, Monterey, Tennessee |
| Authorized Official Name and Position | Heather Wilson (OWNER) |
| Authorized Official Contact | 9318396642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Medical Clinic & Spa 117 W Commercial Ave Monterey TN 38574-1107 Ph: (931) 839-6642 | Live Well Medical Clinic & Spa 117 W Commercial Ave Monterey TN 38574-1107 Ph: (931) 839-6642 |
| NPI Number | 1902208903 |
|---|---|
| Provider Enumeration Date | 09/22/2014 |
| Last Update Date | 06/17/2026 |
| Medicare PECOS PAC ID | 3476875683 |
|---|---|
| Medicare Enrollment ID | O20141125000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902208903 | NPI | - | NPPES |
| Q007973 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Heather H Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184050262 PECOS PAC ID: 2062633282 Enrollment ID: I20141031000413 |
| Provider Name | Brenda Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477863231 PECOS PAC ID: 8628222411 Enrollment ID: I20141112001735 |
Monterey Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 W Crawford Ave, Monterey, TN 38574 Phone: 931-839-2224 Fax: 931-839-2530 | |
Putnam County Rural Health Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Commercial Ave, Monterey, TN 38574 Phone: 931-839-6695 Fax: 931-839-7023 |