Sequatchie Valley Primary Care
NPI 1518171040ActiveOrganization· Contractor· Kimball, TN
Contractor in Kimball, Tennessee, registered in NPPES in May 2007. The authorized official on file is Karin A. Boeck, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518171040 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2007 |
| Last updated in NPPES | Jun 5, 2025 |
| Certified by provider | Jun 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|