| Medical Education Assistance Corporation | |
|
820 W Market St Johnson City TN 37604 | |
| (423) 928-0380 | |
| (423) 928-0557 |
| Full Name | Medical Education Assistance Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 820 W Market St, Johnson City, Tennessee |
| Authorized Official Name and Position | Russell E. Lewis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4234336050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Education Assistance Corporation Po Box 699 Mountain Home TN 37684-0699 Ph: (423) 433-6039 | Medical Education Assistance Corporation 820 W Market St Johnson City TN 37604 Ph: (423) 928-0380 |
| NPI Number | 1336629021 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 08/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336629021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Medical Education Assistance Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464 Fax: 423-439-7118 | |
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