| Mountain Medical Clinic | |
|
21 1st Street Monteagle TN 37356 | |
| (931) 598-5691 | |
| Not Available |
| Full Name | Mountain Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 1st Street, Monteagle, Tennessee |
| Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Medical Clinic 103 Powell Ct Brentwood TN 37027-5079 Ph: () - | Mountain Medical Clinic 21 1st Street Monteagle TN 37356 Ph: (931) 598-5691 |
| NPI Number | 1922388297 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 09/24/2022 |
| Medicare PECOS PAC ID | 5991765943 |
|---|---|
| Medicare Enrollment ID | O20111206000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922388297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
South Cumberland Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 College St, Monteagle, TN 37356 Phone: 931-924-6222 Fax: 949-862-4433 | |
Amg -southern Tennessee Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 S Central Ave, Monteagle, TN 37356 Phone: 931-924-4045 Fax: 931-924-4105 |