| Primary Care Federally Qualified Health Center - Waynesboro | |
|
321 Dexter L Woods Memorial Blvd Ste E Waynesboro TN 38485-2418 | |
| (931) 722-9999 | |
| (931) 722-2049 |
| Full Name | Primary Care Federally Qualified Health Center - Waynesboro |
|---|---|
| Speciality | Clinic/Center |
| Location | 321 Dexter L Woods Memorial Blvd Ste E, Waynesboro, Tennessee |
| Authorized Official Name and Position | Charles J Brinkley (CFO) |
| Authorized Official Contact | 9315404212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Federally Qualified Health Center - Waynesboro 617 W Main St Hohenwald TN 38462-1355 Ph: (931) 796-4901 | Primary Care Federally Qualified Health Center - Waynesboro 321 Dexter L Woods Memorial Blvd Ste E Waynesboro TN 38485-2418 Ph: (931) 722-9999 |
| NPI Number | 1669983995 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 05/03/2024 |
| Medicare PECOS PAC ID | 4688569718 |
|---|---|
| Medicare Enrollment ID | O20180103002487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669983995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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