Provider Demographics
NPI:1720043615
Name:MOUNTAIN PEOPLES HEALTH COUNCILS INC
Entity Type:Organization
Organization Name:MOUNTAIN PEOPLES HEALTH COUNCILS INC
Other - Org Name:AREA HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:LOVETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-286-4141
Mailing Address - Street 1:470 INDUSTRIAL LN
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-6294
Mailing Address - Country:US
Mailing Address - Phone:423-286-4141
Mailing Address - Fax:423-286-4145
Practice Address - Street 1:3826 NORMA RD
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37756-4408
Practice Address - Country:US
Practice Address - Phone:423-663-2920
Practice Address - Fax:423-663-3989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000003740101YM0800X
TNLSW00000063101041C0700X
TNLSW00000060841041C0700X
TNMD0000017308207Q00000X
TNMD0000024202207Q00000X
TNMD0000013549207Q00000X
TN261QF0400X
TNPA0000002075363A00000X
TNAPN0000008386363LF0000X
TNAPN0000013431363LF0000X
TNAPN0000005568363LF0000X
TNAPN0000017825363LF0000X
TNAPN0000016621363LF0000X
TNAPN0000006765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN441825Medicare Oscar/Certification
TN3704390Medicare PIN