Organization · Type 2 NPI

State of Tennessee

Federally Qualified Health Center (FQHC) · Carthage, TN

NPI number 1619028446 Active

Practice location

251 Joy Alford Way
Carthage, TN 37030-1429

Call (615) 735-0242 Map

Fax (615) 735-8250

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...

15 other providers at this address

About NPI 1619028446

State of Tennessee's National Provider Identifier is 1619028446, issued on Jan 16, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Carthage, TN. The record was last updated on Jan 7, 2025.