Organization
FREE MEDICAL CLINIC OF OAK RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MASSENGILL (DIRECTOR OF OPERATIONS)
(865) 483-3904
Entity
Organization
Contact information
Practice address
116 E DIVISION RD, OAK RIDGE, TN 37830-6906
(865) 483-3904
Mailing address
116 E DIVISION RD, OAK RIDGE, TN 37830-6906
(865) 483-3094
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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