Ambulatory Care Center of Wartburg Primary Care LLC
Organization Active NPI Clinic/Center · Wartburg, TN
NPI 1427199819 · NPPES record last updated Apr 15, 2010
Key facts
- NPI
- 1427199819
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- AMBULATORY CARE CENTER OF WARTBURG PRIMARY CARE LLC
- Practice address
- 1236 Knoxville Hwy
Wartburg, TN 37887-4200 - Phone
- (423) 346-5566
- Fax
- (423) 346-5631
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Eric M Redmon, MD
- Title
- Director
- Phone
- (423) 346-5566
Practitioners 12
-
Angela Lynn Brown, FNP-BC
-
Timothy R Bunker, M.D.
-
Mark Allen Clapp, M.D.
-
Chadrick Leon Hull, PA-C
-
Kelly Ann Walker, NP-C
-
Igor Smelyansky, M.D.
-
Stacy Yvonne Wright, FNP
National Provider Directory
Locations
16050 Scott Hwy
Oneida, TN 37841
Phone (423) 286-3292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1236 Knoxville Hwy
Wartburg, TN 37887-4200
Mailing address
PO Box 368
Wartburg, TN 37887-0368
Phone (423) 346-5566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3721832 | Medicaid | TN |
Other providers in Wartburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.