| Three Rivers Community Health Group | |
|
7723 Clearview Church Ln Lyles TN 37098-1609 | |
| (931) 670-5520 | |
| (931) 670-5312 |
| Full Name | Three Rivers Community Health Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 7723 Clearview Church Ln, Lyles, Tennessee |
| Authorized Official Name and Position | Phillip Tatum (CEO) |
| Authorized Official Contact | 9315892104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Community Health Group Po Box 129 Lyles TN 37098-0129 Ph: (931) 670-5520 | Three Rivers Community Health Group 7723 Clearview Church Ln Lyles TN 37098-1609 Ph: (931) 670-5520 |
| NPI Number | 1659567527 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 08/13/2020 |
| Medicare PECOS PAC ID | 4981706330 |
|---|---|
| Medicare Enrollment ID | O20080222000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659567527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hickman Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5047 Highway 100, Lyles, TN 37098 Phone: 931-670-6525 Fax: 931-670-6527 |