| Roark Clinical Services | |
|
19118 Alberta St Oneida TN 37841-6003 | |
| (423) 569-9000 | |
| (888) 546-0765 |
| Full Name | Roark Clinical Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 19118 Alberta St, Oneida, Tennessee |
| Authorized Official Name and Position | Terry Roark (OWNER, AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4235699000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roark Clinical Services 19118 Alberta St Oneida TN 37841-6003 Ph: (423) 569-9000 | Roark Clinical Services 19118 Alberta St Oneida TN 37841-6003 Ph: (423) 569-9000 |
| NPI Number | 1487302550 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487302550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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