DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FOUNDATION MEDICAL, INC.

MEDICARE: FOUNDATION MEDICAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0401XAddiction Medicine (Family Medicine) Physician1000000022019TN

General Provider Information

NPI Number : 1336636158
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUNDATION MEDICAL, INC.
Provider Business Mailing Address
First Line : 1730 OLD GRAY STATION RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37615-3869
Country : US
Telephone Number : 423-202-3008
Fax Number : 423-202-7835
Provider Business Practice Location Address
First Line : 1730 OLD GRAY STATION RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37615-3869
Country : US
Telephone Number : 423-202-3008
Fax Number : 423-202-7835
Authorized Official
Title or Position : FACILITY DIRECTOR/OWNER
Name : JENNIFER TEAGUE GOOD
Credential :
Telephone Number : 423-202-3008
Provider Enumeration Date : 04/17/2018
Last Update Date : 07/24/2019

Similar Medicare Providers

1528593126 — MS. JENNA CARSON FNP-BC
Practice Location Address:
1730 OLD GRAY STATION RD
JOHNSON CITY, TN
37615-3869
Practice Phone: 423-226-0954
Practice Fax:
1134490881 — NUNYA HEALTH GROUP LLP
Practice Location Address:
31 MONTGOMERY ST , SUITE 4
JERSEY CITY, NJ
07302-3869
Practice Phone: 201-721-6130
Practice Fax: 201-918-6864
1548638422 — DR. ALLISON JEANNE GILL DPT
Practice Location Address:
31 MONTGOMERY ST , STE 4
JERSEY CITY, NJ
07302-3869
Practice Phone: 201-721-6130
Practice Fax: 201-918-6864
1114465739 — ELIZABETH WICK PTA
Practice Location Address:
31 MONTGOMERY ST , STE 4
JERSEY CITY, NJ
07302-3869
Practice Phone: 201-721-6130
Practice Fax: 201-918-6864
1922525906 — CHRISTOPHER CID
Practice Location Address:
31 MONTGOMERY ST STE 4
JERSEY CITY, NJ
07302-3869
Practice Phone: 201-721-6130
Practice Fax: 201-918-6864
1629610746 — WOO JIN CHO
Practice Location Address:
31 MONTGOMERY ST STE 3
JERSEY CITY, NJ
07302-3869
Practice Phone: 201-451-1600
Practice Fax:

Directions to “FOUNDATION MEDICAL, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.