Organization
OCOEE REGIONAL HEALTH CORPORATION
Active
Parent organization
OCOEE REGIONAL HEALTH CORPORATION
Other names
South Polk Elementary
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCOEE REGIONAL HEALTH CORPORATION
Authorized official
WILLIAM MOATS (CEO/PRESIDENT)
(423) 338-8995
Entity
Organization
Contact information
Practice address
964 OLD FEDERAL RD, OLD FORT, TN 37362-7815
(423) 338-8995
(423) 338-8996
Mailing address
PO BOX 308, BENTON, TN 37307-0308
(423) 338-8995
(423) 338-8996
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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