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Organization
AMG-CROCKETT, LLC
Active
Organization
AMG-CROCKETT, LLC
Active
Other names
First Choice Health Loretto
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BRADFORD (REVENUE CYCLE MANAGER)
(931) 308-5066
Entity
Organization
Contact information
Practice address
722 N MILITARY ST, LORETTO, TN 38469-2336
(931) 853-4622
(931) 853-4621
Mailing address
330 SEVEN SPRINGS WAY, ATTEN: PROVIDER ENROLLMENT, BRENTWOOD, TN 37027-5098
(931) 967-1333
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/14/2019
Last updated
02/02/2026
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