Healthcare Provider Details

I. General information

NPI: 1871594333
Provider Name (Legal Business Name): MOUNTAIN PEOPLES HEALTH COUNCILS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 INDUSTRIAL LN
ONEIDA TN
37841-6294
US

IV. Provider business mailing address

470 INDUSTRIAL LN
ONEIDA TN
37841-6294
US

V. Phone/Fax

Practice location:
  • Phone: 423-569-3800
  • Fax: 423-569-1744
Mailing address:
  • Phone: 423-286-4141
  • Fax: 423-286-4145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateTN

VIII. Authorized Official

Name: MR. JAMES C LOVETT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 423-286-4141