| Copper Basin Elementary School | |
|
206 Cougar Dr Copperhill TN 37317-5001 | |
| (423) 338-8995 | |
| (423) 338-8996 |
| Full Name | Copper Basin Elementary School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 206 Cougar Dr, Copperhill, Tennessee |
| Authorized Official Name and Position | Williams Moats (CEO/PRESIDENT) |
| Authorized Official Contact | 4233388995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Basin Elementary School Po Box 308 Benton TN 37307-0308 Ph: (423) 338-8995 | Copper Basin Elementary School 206 Cougar Dr Copperhill TN 37317-5001 Ph: (423) 338-8995 |
| NPI Number | 1326711383 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Certification Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326711383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Family Medical Clinic PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Medical Center Dr Ste C, Copperhill, TN 37317 Phone: 423-548-1500 Fax: 423-548-1604 |
Copper Basin Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Medical Center Dr, Bldg. C, Copperhill, TN 37317 Phone: 423-496-5511 Fax: 423-548-1520 |
Copper Basin Family Practice Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Medical Center Dr, Bldg C, Copperhill, TN 37317 Phone: 423-496-1788 Fax: 423-496-1776 |
Dr. Eric Satterfield Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 144 Medical Center Dr Ste D2, Copperhill, TN 37317 Phone: 423-548-2000 Fax: 423-548-2002 |
Mahmood a Siddiqui MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 144 Medical Center Dr. #b, Copperhill, TN 37317 Phone: 423-496-9214 Fax: 423-496-7809 |
Grace Health Services PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 Main Street, Copperhill, TN 37317 Phone: 423-548-1000 Fax: 423-548-1002 |