Organization · Type 2 NPI
Ocoee Regional Health Corporation
Federally Qualified Health Center (FQHC) · Old Fort, TN
NPI number
1538739909
Active
Practice location
964 Old Federal Rd
Old Fort, TN 37362-7815
Fax (423) 338-8996
Mailing address
PO Box 308
Benton, TN 37307-0308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1538739909
Ocoee Regional Health Corporation's National Provider Identifier is 1538739909, issued on Jun 29, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Old Fort, TN. The record was last updated on Jun 29, 2021.