| State Of Tennessee | |
|
3469 New Highway 68 Madisonville TN 37354 | |
| (423) 442-3993 | |
| (423) 442-9468 |
| Full Name | State Of Tennessee |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 3469 New Highway 68, Madisonville, Tennessee |
| Authorized Official Name and Position | Marianne F Sharp (REGIONAL ACCOUNTANT) |
| Authorized Official Contact | 8655495266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Tennessee Po Box 59019 Knoxville TN 37950-9019 Ph: (865) 549-5266 | State Of Tennessee 3469 New Highway 68 Madisonville TN 37354 Ph: (423) 442-3993 |
| NPI Number | 1669527230 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 11/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669527230 | NPI | - | NPPES |
| 4447828 | Medicaid | TN | |
| 152400 | Other | TN | BLUECROSS BLUESHIELD TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Chota Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 | |
Kidzcare Pediatrics, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4233 Highway 411, Suite B, Madisonville, TN 37354 Phone: 423-745-7500 Fax: 423-745-7501 | |
Summit Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 Warren St, Madisonville, TN 37354 Phone: 423-442-5480 Fax: 423-442-4416 | |
Wil-sav Clinical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4249 Highway 411 Ste 5, Madisonville, TN 37354 Phone: 423-442-9729 Fax: 423-442-5057 | |
Independent Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-436-0309 Fax: 423-436-0310 | |
Family Practice Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4233 Highway 411, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 | |
Chota Community Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 |