Organization · Type 2 NPI

State of Tennessee

Federally Qualified Health Center (FQHC) · Cookeville, TN

NPI number 1649321464 Active

About NPI 1649321464

State of Tennessee's National Provider Identifier is 1649321464, issued on Jan 16, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Cookeville, TN. The record was last updated on Jan 7, 2025.