Heartland Medical P.C.
Organization Active NPI Primary Care Clinic/Center · New Tazewell, TN
NPI 1508965682 · NPPES record last updated Jul 18, 2008
Key facts
- NPI
- 1508965682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- HEARTLAND MEDICAL P.C.
- Practice address
- 309 N Broad St
New Tazewell, TN 37825-6600 - Phone
- (423) 626-7297
- Fax
- (423) 851-4704
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Pat G Fugate
- Title
- Credentialing
- Phone
- (423) 626-7297
Practitioners 5
-
Spencer Todd Harmon, PA-C
-
Angela Dawn Thornsbury, APRN, FNP-C
-
Aleona A Oculam, M.D.
-
Debbie A Poore, FNP
-
Mark A Pruitt, FNP
National Provider Directory
Locations
170 Beech St
Ste 1
Harrogate, TN 37752
Phone (423) 869-3684
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes | ||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
309 N Broad St
New Tazewell, TN 37825-6600
Mailing address
309 N Broad St
New Tazewell, TN 37825-6600
Phone (423) 626-7297
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3715984 | Medicaid | TN |
Other providers in New Tazewell, TN
- Andrew Gross
- Spencer Todd Harmon
- Gabrielle Nicole Harp
- Lloyd Benton Harris III
- Pamela Nowell Hawk
- Heartland Medical, P.C.
- Helping Hands
- Emma Hernandez Tenerife
- Derek Verldon Hicks
- Melinda Sue Honeycutt
All providers in New Tazewell, TN · Primary Care Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2008. 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.