Organization
OCOEE REGIONAL HEALTH CORPORATION
Active
Other names
Grundy County Primary Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL R MOATS (CEO)
(423) 338-8995
Entity
Organization
Contact information
Practice address
10120 SR 56, COALMONT, TN 37313-2505
(931) 779-4002
(931) 779-4003
Mailing address
PO BOX 70, PALMER, TN 37365-0070
(931) 779-4002
(931) 779-4003
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
06/29/2021
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