Organization
BH SERVICES SOUTHEAST 1 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BAKERINK (DIRECTOR OF PROVIDER ENROLLMENT/AO)
(865) 500-1325
Entity
Organization
Contact information
Practice address
2565 N WASHINGTON AVE, BROWNSVILLE, TN 38012-1610
(731) 772-4199
Mailing address
265 BROOKVIEW CENTRE WAY, STE 203, KNOXVILLE, TN 37919-4052
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
01/22/2025
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