Organization · Type 2 NPI

State of Tennessee

Federally Qualified Health Center (FQHC) · Lafayette, TN

NPI number 1447301296 Active

About NPI 1447301296

State of Tennessee's National Provider Identifier is 1447301296, issued on Jan 16, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lafayette, TN. The record was last updated on Jan 7, 2025.