| Ocoee Regional Health Corporation | |
|
964 Old Federal Rd Old Fort TN 37362-7815 | |
| (423) 338-8995 | |
| (423) 338-8996 |
| Full Name | Ocoee Regional Health Corporation |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 964 Old Federal Rd, Old Fort, Tennessee |
| Authorized Official Name and Position | William Moats (CEO/PRESIDENT) |
| Authorized Official Contact | 4233388995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocoee Regional Health Corporation Po Box 308 Benton TN 37307-0308 Ph: (423) 338-8995 | Ocoee Regional Health Corporation 964 Old Federal Rd Old Fort TN 37362-7815 Ph: (423) 338-8995 |
| NPI Number | 1538739909 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538739909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |