Organization
MOUNTAIN PEOPLES HEALTH COUNCILS INC.
Active
Other names
Huntsville Primary Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C LOVETT (EXECUTIVE DIRECTOR)
(423) 286-4141
Entity
Organization
Contact information
Practice address
2974 BAKER HWY, HUNTSVILLE, TN 37756-3806
(423) 663-9200
(423) 663-3389
Mailing address
470 INDUSTRIAL LN, ONEIDA, TN 37841-6294
(423) 286-4141
(423) 286-4145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
174400000X
Specialist
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TN
363LP0200X
Pediatric Nurse Practitioner
—
—
364SP0200X
Pediatric Clinical Nurse Specialist
—
—
Other
Enumeration date
08/02/2005
Last updated
05/01/2023
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