State of Tennessee
NPI #1316098247 in Gainesboro, Tennessee
Provider Information
- NPI Number
- 1316098247
- Entity Type
- Organization
- Organization Name
- State of Tennessee
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Jan 7, 2025
Practice Location
- Address
- 600 NORTH MURRAY ST
- City
- Gainesboro
- State
- Tennessee
- ZIP Code
- 38562-9315
- Phone
- (931) 268-0218
Authorized Official
- Name
- TAMMY STEWART
- Title
- CFO
- Phone
- (931) 520-4203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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