Ocoee Regional Health Corporation
Organization Active NPI Federally Qualified Health Center (FQHC) · Benton, TN
NPI 1982377941 · NPPES record last updated Jul 27, 2021
Key facts
- NPI
- 1982377941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- OCOEE REGIONAL HEALTH CORPORATION
- Practice address
- 215 School House Hill Rd
Benton, TN 37307-3133 - Phone
- (423) 338-8995
- Fax
- (423) 338-8996
- NPI assigned
- Jul 27, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- OCOEE REGIONAL HEALTH CORPORATION
Authorized official
- Name
- William Moats
- Title
- Ceo/President
- Phone
- (423) 338-8995
Corporate family (same tax ID) 13
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2175271 | Benton Elementary School | Certificate of waiver | Nov 18, 2027 |
National Provider Directory
- Tax ID family
- Rhea County PR Imary Care
- Part of
- Rhea County PR Imary Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
215 School House Hill Rd
Benton, TN 37307-3133
Mailing address
PO Box 308
Benton, TN 37307-0308
Phone (423) 338-8995
Other names
- Benton Elementary School
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Benton |
Other providers in Benton, TN
- Charlie Mitchell
- Tonya Morgan
- Jason Dewayne Nicholson
- Ocoee Regional Health Corporation
- Ocoee Regional Health Corporation
- Roksolana Odinets
- Patricia Ann Pagan
- Maya Paliaro
- Pathmavathi S Pentiah
- Cathy Smith Phillips
All providers in Benton, TN · Federally Qualified Health Center (FQHC) 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 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.