| Omni Community Health | |
|
4709 Papermill Drive Suite 101 Knoxville TN 37909-1928 | |
| (865) 525-0391 | |
| (865) 381-1205 |
| Full Name | Omni Community Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4709 Papermill Drive, Knoxville, Tennessee |
| Authorized Official Name and Position | Mark Just (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6157263603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Community Health 301 S Perimeter Park Drive Suite 210 Nashville TN 37211-4128 Ph: (615) 726-3603 | Omni Community Health 4709 Papermill Drive Suite 101 Knoxville TN 37909-1928 Ph: (865) 525-0391 |
| NPI Number | 1033572227 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033572227 | NPI | - | NPPES |
| Q020542 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 17806 (Tennessee) | Primary |
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