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Healthstat Onsite Clinic Parkdale Plant 16

Organization Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Mountain City, TN

NPI 1982114716 · NPPES record last updated Oct 6, 2017

Key facts

NPI
1982114716
Entity type
Organization (NPI type 2)
Primary specialty
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
Legal business name
HEALTHSTAT ONSITE CLINIC PARKDALE PLANT 16
Practice address
3916 Highway 421 S
Mountain City, TN 37683-2243
Phone
(423) 727-3659
NPI assigned
Oct 6, 2017
Organization subpart
No

Authorized official

Name
Jill Johnson Patton
Title
Director of Risk Management
Phone
(704) 936-5546

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Healthstat on-Site Clinicmilliken Kex (237 organizations share this tax ID)

Locations

3916 Highway 421 S
Mountain City, TN 37683
Phone (423) 727-3659

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 2083P0500X Yes

Addresses

Primary practice location

3916 Highway 421 S
Mountain City, TN 37683-2243

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Phone (704) 935-5546

Other providers in Mountain City, TN

All providers in Mountain City, TN · Preventive Medicine/Occupational Environmental Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.