Provider Demographics
NPI:1881671212
Name:HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:B
Authorized Official - Last Name:VERNA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:423-566-1314
Mailing Address - Street 1:219 NORTH AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:LA FOLLETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37766-2732
Mailing Address - Country:US
Mailing Address - Phone:423-566-1314
Mailing Address - Fax:423-566-2466
Practice Address - Street 1:219 NORTH AVE
Practice Address - Street 2:STE 201
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-2732
Practice Address - Country:US
Practice Address - Phone:423-566-1314
Practice Address - Fax:423-566-2466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3925294OtherMEDICAID LCSW
4057513OtherBLUE CROSS BLUE SHIELD
CJ7804OtherRAILROAD MEDICARE
TN0100OtherJOHN DEERE HEALTHCARE
3908004OtherMEDICAID PNP
TN3982486Medicaid
=========OtherTENNCARE
TN0100OtherJOHN DEERE HEALTHCARE
CJ7804OtherRAILROAD MEDICARE
3925294Medicare ID - Type UnspecifiedLCSW