MEDICARE: SOFHA ACUTE CARE CLINIC LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1134681000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOFHA ACUTE CARE CLINIC LLC

Provider Business Mailing Address
First Line	:	2528 WESLEY ST STE 2
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-1766
Country	:	US
Telephone Number	:	423-794-2469
Fax Number	:	423-283-9730

Provider Business Practice Location Address
First Line	:	2528 WESLEY ST STE 2
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-1766
Country	:	US
Telephone Number	:	423-794-2469
Fax Number	:	423-283-9730

Authorized Official
Title or Position	:	DIRECTOR OF QUALITY
Name	:	AMANDA CLEAR
Credential	:
Telephone Number	:	423-794-2450

Provider Enumeration Date	:	04/01/2019
Last Update Date	:	04/01/2019

Similar Medicare Providers

1083931539 — MEDICAL SPECIALISTS OF JOHNSON CITY
Practice Location Address:

2528 WESLEY ST STE 2
JOHNSON CITY, TN
37601-1766

Practice Phone: 423-794-2450
Practice Fax:

1477015345 — SOFHA URGENT CARE PLLC
Practice Location Address:

2528 WESLEY ST STE 2
JOHNSON CITY, TN
37601-1766

Practice Phone: 423-794-2469
Practice Fax:

1720201205 — VINGELIS AND LEE FAMILY DENTAL
Practice Location Address:

145 OAKDALE ROAD , SUITE A
JOHNSON CITY, NY
13790-1766

Practice Phone: 607-217-5853
Practice Fax: 607-237-0159

1952252231 — BUCK JACK UTAH, LLC
Practice Location Address:

2005 E 2700 S STE 200
SALT LAKE CITY, UT
84109-1766

Practice Phone: 719-597-0822
Practice Fax: 719-599-4606

1720161177 — MRS. JENNIFER ANN JACKSON LCSW
Practice Location Address:

1766 S 2100 E
SALT LAKE CITY, UT
84108-3067

Practice Phone: 801-403-8626
Practice Fax:

1396157483 — LINDA DANGTRAN RPH
Practice Location Address:

270 SUNSET AVE
SUISUN CITY, CA
94585-1766

Practice Phone: 707-426-1274
Practice Fax: 707-426-3280

Directions to “SOFHA ACUTE CARE CLINIC LLC ” 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.