Organization · Type 2 NPI

State of Tennessee

Federally Qualified Health Center (FQHC) · Smithville, TN

NPI number 1437200474 Active

Practice location

254 Tiger Dr
Smithville, TN 37166-6812

Call (615) 597-7599 Map

Fax (615) 597-1349

Mailing address

1100 England Drive
Cookeville, TN 38501-0924

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency 251K00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

20 other providers at this address

About NPI 1437200474

State of Tennessee's National Provider Identifier is 1437200474, issued on Jan 16, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Smithville, TN. The record was last updated on Jan 7, 2025.