| Mobile Center | |
|
207 Murray Dr Newport TN 37821-3631 | |
| (423) 613-1360 | |
| (423) 613-1361 |
| Full Name | Mobile Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 Murray Dr, Newport, Tennessee |
| Authorized Official Name and Position | Larry a Stanifer (CEO) |
| Authorized Official Contact | 8655090055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Center 207 Murray Dr Newport TN 37821-3631 Ph: (423) 613-1360 | Mobile Center 207 Murray Dr Newport TN 37821-3631 Ph: (423) 613-1360 |
| NPI Number | 1801045380 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 09/09/2008 |
| Medicare PECOS PAC ID | 1456384080 |
|---|---|
| Medicare Enrollment ID | O20080930000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801045380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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