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NPI Code Detail

MEDICARE: HOPE FAMILY HEALTH SERVICES

MEDICARE: HOPE FAMILY HEALTH SERVICES
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
1363A00000XPhysician Assistant
2363LP0808XPsychiatric/Mental Health Nurse Practitioner
3261QR0200XRadiology Clinic/Center
41223G0001XGeneral Practice Dentistry
5261QM1300XMulti-Specialty Clinic/Center
6261QF0400XFederally Qualified Health Center (FQHC)TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942337183
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE FAMILY HEALTH SERVICES
Provider Business Mailing Address
First Line : 12124 HIGHWAY 52 W
Second Line :
City : WESTMORELAND
State : TN
Zip : 37186-5063
Country : US
Telephone Number : 615-644-2000
Fax Number : 615-644-2078
Provider Business Practice Location Address
First Line : 1124 NEW HIGHWAY 52 E
Second Line :
City : WESTMORELAND
State : TN
Zip : 37186-5060
Country : US
Telephone Number : 615-644-2000
Fax Number : 615-644-2078
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JENNIFER G DITTES
Credential : PA-C
Telephone Number : 615-644-2000
Provider Enumeration Date : 02/27/2007
Last Update Date : 07/26/2023

Similar Medicare Providers

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Practice Location Address:
1124 NEW HIGHWAY 52 E
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Practice Fax: 615-644-2078
1154493237 — JENNIFER GEORGE DITTES PA-C
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Practice Fax: 615-644-2078
1487728911 — SUMNER REGIONAL MEDICAL CENTER LLC
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Practice Phone: 615-644-6030
Practice Fax: 615-644-6035
1992956114 — AMANDA BRIANNE PERRY PA-C
Practice Location Address:
1124 NEW HIGHWAY 52 E
WESTMORELAND, TN
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Practice Fax: 615-644-2078
1003124561 — RICHARD C COX PHARMD
Practice Location Address:
1124 NEW HIGHWAY 52 E
WESTMORELAND, TN
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Practice Fax: 615-644-2078
1821368861 — BETHANY J DIOLOLA MHNP
Practice Location Address:
1124 NEW HIGHWAY 52 E
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Practice Fax:

Directions to “HOPE FAMILY HEALTH SERVICES ” Practice Location

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