Organization · Type 2 NPI
Lake County Primary Care
Federally Qualified Health Center (FQHC) · Tiptonville, TN
NPI number
1275873424
Active
Practice location
710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Fax (731) 253-6692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 17394 (TN) |
Federally Qualified Health Center (FQHC): Definition to come...
5 other providers at this address
- Citizens of Lake County for Health Care IncFederally Qualified Health Center (FQHC) Tiptonville, TN NPI 1841311529
- Courtney Faught, APNNurse Practitioner Tiptonville, TN NPI 1457789380
- Fernando Cardenas Lagrimas, MDFamily Medicine Physician Tiptonville, TN NPI 1023033073
- Kristen Deaton, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Tiptonville, TN NPI 1760159545
- Terra Micah King, APRN, FNP-CPrimary Care Nurse Practitioner Tiptonville, TN NPI 1285266676
Other federally qualified health center (fqhc) providers in Tiptonville
About NPI 1275873424
Lake County Primary Care's National Provider Identifier is 1275873424, issued on Feb 26, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Tiptonville, TN. The record was last updated on Feb 26, 2013.