Citizens Of Lake County For Health Care Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Ridgely, Tennessee. The current practice location for Citizens Of Lake County For Health Care Inc is 130 N Main St, Ridgely, Tennessee. For appointments, you can reach them via phone at
(731) 264-5518. The mailing address for Citizens Of Lake County For Health Care Inc is 130 North Main Street, Ridgely, Tennessee and phone number is (731) 264-5518.
Citizens Of Lake County For Health Care Inc is licensed to practice in Tennessee (license number 6899). The clinic also participates in the medicare program and its
NPI number is 1851697817. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(731) 264-5518.
Primary Care Clinic Profile
| Full Name | Citizens Of Lake County For Health Care Inc |
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| Speciality | Clinic/Center |
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| Location | 130 N Main St, Ridgely, Tennessee |
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| Authorized Official Name and Position | Gayanne Cartwright Williams (EXECUTIVE DIRECTOR) |
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| Authorized Official Contact | 7312536690 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Citizens Of Lake County For Health Care Inc
130 North Main Street
Ridgely
TN 38080-1317
Ph: (731) 264-5518 | Citizens Of Lake County For Health Care Inc
130 N Main St
Ridgely
TN 38080-1317
Ph: (731) 264-5518 |
NPI Details:
| NPI Number | 1851697817 |
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| Provider Enumeration Date | 02/08/2011 |
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| Last Update Date | 02/08/2011 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6507052073 |
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| Medicare Enrollment ID | O20101123000838 |
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Medical Identifiers
Medical identifiers for Citizens Of Lake County For Health Care Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851697817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6899 (Tennessee) | Primary |
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