Organization · Type 2 NPI
Ocoee Regional Health Corporation
Federally Qualified Health Center (FQHC) · Cleveland, TN
NPI number
1245442169
Active
Practice location
2020 Westland Dr SW
Cleveland, TN 37311-8163
Fax (423) 614-5270
Mailing address
1420 Fritz St SE
Cleveland, TN 37323-6009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
4 other providers at this address
- Aletta Jane VandergriffFamily Nurse Practitioner Cleveland, TN NPI 1912466475
- John Marvin Lytle Jr.Adult Health Nurse Practitioner Cleveland, TN NPI 1356092571
- Lauren Rhea Gibson, FNP-BCFamily Nurse Practitioner Cleveland, TN NPI 1598510471
- Robert Breck Lang, FNPFamily Nurse Practitioner Cleveland, TN NPI 1023788635
About NPI 1245442169
Ocoee Regional Health Corporation's National Provider Identifier is 1245442169, issued on May 4, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Cleveland, TN. The record was last updated on Feb 18, 2022.