Citizens of Lake County for Health Care INC

NPI #1841311529 in Tiptonville, Tennessee

Provider Information

NPI Number
1841311529
Entity Type
Organization
Organization Name
Citizens of Lake County for Health Care INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 2, 2007
Last Updated
Nov 6, 2012

Practice Location

Address
710 CARL PERKINS PKWY
ZIP Code
38079
Phone
(731) 253-6690

Authorized Official

Name
MRS. AMBER MARIE ISBELL
Title
FINANCIAL OFFICER
Phone
(731) 253-6690

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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