Fairview Associates Of Johnson City | |
607 Baxter St Johnson City TN 37601-4003 | |
(423) 232-2670 | |
(423) 928-0381 |
Full Name | Fairview Associates Of Johnson City |
---|---|
Speciality | Community/behavioral Health |
Location | 607 Baxter St, Johnson City, Tennessee |
Authorized Official Name and Position | Teresa M Kidd (PRESIDENT AND CEO) |
Authorized Official Contact | 4234673600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fairview Associates Of Johnson City Po Box 9054 Gray TN 37615-9054 Ph: (423) 467-3600 | Fairview Associates Of Johnson City 607 Baxter St Johnson City TN 37601-4003 Ph: (423) 232-2670 |
NPI Number | 1134282551 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 10/04/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134282551 | NPI | - | NPPES |
SAME AS MEDICARE #S | Medicaid | TN | |
49-4914-5 | Medicaid | VA |
News Archive
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