Organization
HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY B VERNA PHD (PRESIDENT)
(423) 566-1314
Entity
Organization
Contact information
Practice address
219 NORTH AVE, STE 201, LA FOLLETTE, TN 37766-2732
(423) 566-1314
(423) 566-2466
Mailing address
219 NORTH AVE, STE 201, LA FOLLETTE, TN 37766-2732
(423) 566-1314
(423) 566-2466
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3908004
MEDICAID PNP
—
01
—
3925294
MEDICAID LCSW
—
05
—
3982486
—
TN
01
—
4057513
BLUE CROSS BLUE SHIELD
—
01
—
CJ7804
RAILROAD MEDICARE
—
01
—
TN0100
JOHN DEERE HEALTHCARE
—
Enumeration date
12/28/2005
Last updated
08/22/2020
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