| Purihin Clinic-p. C. | |
|
3535 Chere Carol Rd Humboldt TN 38343-3634 | |
| (731) 784-3323 | |
| (731) 784-3324 |
| Full Name | Purihin Clinic-p. C. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3535 Chere Carol Rd, Humboldt, Tennessee |
| Authorized Official Name and Position | Ernesto Padiernos Chioco (PRESIDENT/SECRETARY) |
| Authorized Official Contact | 7317843323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purihin Clinic-p. C. 3535 Chere Carol Rd Humboldt TN 38343-3634 Ph: (731) 784-3323 | Purihin Clinic-p. C. 3535 Chere Carol Rd Humboldt TN 38343-3634 Ph: (731) 784-3323 |
| NPI Number | 1649221938 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649221938 | NPI | - | NPPES |
| 20481 | Other | TN | MEMPHIS MANAGED CARE |
| 5724187 | Other | AETNA | |
| 3374104 | Other | TN | CIGNA |
| 110229501 | Other | RAILROAD MEDICARE NUMBER | |
| 4021754 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3374104 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 35377 (Tennessee) | Primary |
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