Organization
HOPE FAMILY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER G DITTES PA-C (EXECUTIVE DIRECTOR)
(615) 644-2000
Entity
Organization
Contact information
Practice address
1124 NEW HIGHWAY 52 E, WESTMORELAND, TN 37186-5060
(615) 644-2000
(615) 644-2078
Mailing address
12124 HIGHWAY 52 W, WESTMORELAND, TN 37186-5063
(615) 644-2000
(615) 644-2078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TN
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3728716
—
TN
Enumeration date
02/27/2007
Last updated
07/26/2023
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