Organization · Type 2 NPI
State of Tennessee
Federally Qualified Health Center (FQHC) · Gainesboro, TN
NPI number
1316098247
Active
Practice location
600 North Murray St
Gainesboro, TN 38562-9315
Fax (931) 268-0872
Mailing address
1100 England Drive
Cookeville, TN 38501-0924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency | 251K00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1316098247
State of Tennessee's National Provider Identifier is 1316098247, issued on Jan 16, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Gainesboro, TN. The record was last updated on Jan 7, 2025.