# BH SERVICES SOUTHEAST 1 PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Clinic of Alamo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568200806
- **Authorized official:** JOSEPH CRANE IV MD (OWNER/PRESIDENT)
- **Authorized official phone:** (865) 693-1000

## Contact information

- **Practice address:** 18 N CAVALIER DR, ALAMO, TN 38001-6468
- **Practice address phone:** (731) 696-4500
- **Mailing address:** 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919-4052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/19/2024
- **Last updated:** 08/28/2024