| Mountain Region Family Medicine, Pc | |
| 
					444 Clinchfield Street Ste 201 Kingsport TN 37660-3683  | |
| (423) 230-2100 | |
| (423) 230-2112 | 
| Full Name | Mountain Region Family Medicine, Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 444 Clinchfield Street, Kingsport, Tennessee | 
| Authorized Official Name and Position | Wanda Y Trent (CORPORATE SECRETARY) | 
| Authorized Official Contact | 4232302109 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mountain Region Family Medicine, Pc 444 Clinchfield Street Ste 201 Kingsport TN 37660-3683 Ph: (423) 230-2100  | Mountain Region Family Medicine, Pc 444 Clinchfield Street Ste 201 Kingsport TN 37660-3683 Ph: (423) 230-2100  | 
| NPI Number | 1831467067 | 
|---|---|
| Provider Enumeration Date | 12/02/2011 | 
| Last Update Date | 03/10/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831467067 | NPI | - | NPPES | 
| 1003827205 | Other | NPI | |
| 1538110309 | Other | NPI | |
| 1154354900 | Other | NPI | |
| 1164582862 | Other | NPI | |
| 1528079910 | Other | NPI | |
| 1548252638 | Other | NPI | |
| 1861732968 | Other | TN | NPI | 
| 1881854594 | Other | TN | NPI | 
| 1356391098 | Other | NPI | |
| 1477539542 | Other | NPI | |
| 1526748 | Medicaid | TN | |
| 1629089784 | Other | NPI | |
| 1770534539 | Other | NPI | |
| 1306897202 | Other | NPI | |
| 1588676456 | Other | NPI | |
| 3386406 | Other | MEDICARE PTAN (S. STEFFEY) | |
| 4312365 | Other | TN | BLUE CROSS BLUE SHIELD GROUP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary | 
Wps Providers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000  | |
Sullivan And Ptrs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2204 Pavilion Dr Ste 108, Kingsport, TN 37660 Phone: 423-392-6100 Fax: 423-392-0803  | |
Kingsport Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1526 Bridgewater Ln, Kingsport, TN 37660 Phone: 423-246-0033 Fax: 423-245-0034  | |
Tri-cities Gastroenterology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10461 Wallace Alley St, Kingsport, TN 37663 Phone: 423-279-1400  | |
Kingsport Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 Fax: 423-224-4693  | |
Carl E Bendeck Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Belmeade Dr, Kingsport, TN 37664 Phone: 423-578-3489  | |
A. Evan Lewis Phd Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 Brookside Dr Ste D, Kingsport, TN 37660 Phone: 423-392-5020 Fax: 423-392-5100  |