Organization
MOBILE HEALTH VAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ELLIS RHIT (PRIVACY OFFICER)
(865) 549-2121
Entity
Organization
Contact information
Practice address
435 2ND ST, NEWPORT, TN 37821-3703
(423) 625-2200
Mailing address
435 2ND ST, NEWPORT, TN 37821-3703
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2006
Last updated
08/22/2020
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