Organization · Type 2 NPI

Ocoee Regional Health Corporation

Federally Qualified Health Center (FQHC) · Coalmont, TN

NPI number 1902010770 Active

Practice location

10120 Sr 56
Coalmont, TN 37313-2505

Call (931) 779-4002 Map

Fax (931) 779-4003

Mailing address

PO Box 70
Palmer, TN 37365-0070

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

NPI record

NPI: 1902010770
Entity type: Organization (Type 2)
Issued: May 10, 2007
Last updated: Jun 29, 2021
Status: Active

Other names

<unavail>
Grundy County Primary Care Center · doing business as
Grundy County Primary Care Center · doing business as

Authorized official

Mr. Bill R Moats
CEO
(423) 338-8995

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902010770

Ocoee Regional Health Corporation's National Provider Identifier is 1902010770, issued on May 10, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Coalmont, TN. The record was last updated on Jun 29, 2021.