Organization · Type 2 NPI

Campbell County Hma LLC

Rural Health Clinic/Center · Clinton, TN

NPI number 1093300717 Active

Practice location

2200 N Charles G Seivers Blvd
Clinton, TN 37716-6738

Fax (423) 566-6871

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

Other rural health clinic/center providers in Clinton

Access Medical Clinic LLCRural Health Clinic/Center Clinton, TN NPI 1215891098

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NPI record

NPI: 1093300717
Entity type: Organization (Type 2)
Issued: Mar 4, 2021
Last updated: Mar 29, 2021
Status: Active

Other names

<unavail>
Tennova Primary Care Clinton · doing business as
Tennova Primary Care Clinton · doing business as

Authorized official

Paula Lalor
Director/delegated Official
(629) 215-3953

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093300717

Campbell County Hma LLC's National Provider Identifier is 1093300717, issued on Mar 4, 2021. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Clinton, TN. The record was last updated on Mar 29, 2021.