Organization
COCKE COUNTY HMA LLC
Active
Other names
Tennova Newport-4th Street
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
434 4TH ST STE 305, NEWPORT, TN 37821-3735
(423) 613-6381
(423) 613-6382
Mailing address
435 2ND ST, NEWPORT, TN 37821-3703
(423) 625-2200
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
03/31/2021
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