MEDICARE: HEALTHCARE SERVICES 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
1	261QM1300X	Multi-Specialty Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CJ7804	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4057513	OTHER	BLUE CROSS BLUE SHIELD
4	TN0100	OTHER	JOHN DEERE HEALTHCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881671212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	219 NORTH AVE
Second Line	:	STE 201
City	:	LA FOLLETTE
State	:	TN
Zip	:	37766-2732
Country	:	US
Telephone Number	:	423-566-1314
Fax Number	:	423-566-2466

Provider Business Practice Location Address
First Line	:	219 NORTH AVE
Second Line	:	STE 201
City	:	LA FOLLETTE
State	:	TN
Zip	:	37766-2732
Country	:	US
Telephone Number	:	423-566-1314
Fax Number	:	423-566-2466

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GARY B VERNA
Credential	:	PHD
Telephone Number	:	423-566-1314

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	08/22/2020

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Directions to “HEALTHCARE SERVICES INC ” Practice Location

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