| Ocoee Regional Health Corporation | |
|
3900 Double S Rd Dayton TN 37321-5344 | |
| (423) 338-8995 | |
| (423) 338-8996 |
| Full Name | Ocoee Regional Health Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 3900 Double S Rd, Dayton, Tennessee |
| Authorized Official Name and Position | William Moats (PRESIDENT/CEO) |
| Authorized Official Contact | 4233388995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocoee Regional Health Corporation Po Box 308 Benton TN 37307-0308 Ph: (423) 338-8995 | Ocoee Regional Health Corporation 3900 Double S Rd Dayton TN 37321-5344 Ph: (423) 338-8995 |
| NPI Number | 1144993171 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Medicare PECOS PAC ID | 1355233693 |
|---|---|
| Medicare Enrollment ID | O20210831001446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144993171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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