Dba Indian Path Pavilion is a Psychiatry | Addiction Medicine Clinic in Kingsport, Tennessee. It is located at 2300 Pavilion Dr, Kingsport, TN and its contact number is 423-392-5500. The authorized person for Dba Indian Path Pavilion is C. Steven Kilgore
who is Senior Vice President of the clinic and his/her contact number is 423-915-5185. Other organizations associated with this clinic are Blue Ridge Medical Management Corporation, Blue Ridge Medical Management Corporation, Dba Indian Path Pavilion Clinic focuses on the evaluation, diagnosis, and treatment of people who have one or more disorders related to addictions like illegal drugs, alcohol, and prescription medication and other substances.
Complete Clinic Profile:
Dba Indian Path Pavilion Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
C. Steven Kilgore
Position:
Senior Vice President
Contact Number:
423-915-5185
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dba Indian Path Pavilion clinic are as mentioned below.
NPI Number:
1659475374
NPI Enumeration Date:
12 Sep, 2006
NPI Last Update On:
22 Aug, 2020
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Blue Ridge Medical Management Corporation
Psychiatry
1144231119
Blue Ridge Medical Management Corporation
Addiction Medicine
1659475374
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dba Indian Path Pavilion are as mentioned below.
Specialization
License Number
State
Status
Psychiatry
Primary
Addiction Medicine
Secondary
Psychiatry
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3716292
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dba Indian Path Pavilion 2300 Pavilion Dr, Kingsport, Tennessee
Zip:
37660-4622
Phone Number:
423-392-5500
Fax Number:
423-392-5597
Patients can reach Dba Indian Path Pavilion at 2300 Pavilion Dr, Kingsport, Tennessee or can call to book an appointment on 423-392-5500. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.