Ocoee Regional Health Corporation
Clinic/Center, Federally Qualified Health Center (FQHC) in Pikeville, TN. Organization (NPI-2).
NPI number1265645204
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1265645204
- Entity type
- Organization (NPI-2)
- Legal business name
- Ocoee Regional Health Corporation
- Organization subpart
- No
- Enumeration date
- May 7, 2007
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Bledsoe County Primary Care Center (Doing Business As)
Practice location
3625 Us 127Pikeville, TN 37367
Phone 423-447-6287 · Fax 423-447-6315
Mailing address
Po Box 976Pikeville, TN 37367-0976
Phone 423-447-6287 · Fax 423-447-6315
Authorized official
Bill R Moats
Ceo
4233388995
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