Organization · Type 2 NPI

State of Tennessee

Federally Qualified Health Center (FQHC) · Byrdstown, TN

NPI number 1730230558 Active

Practice location

1013 Woodlawn Dr
Byrdstown, TN 38549-2317

Call (931) 864-3178 Map

Fax (931) 864-3376

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...

5 other providers at this address

About NPI 1730230558

State of Tennessee's National Provider Identifier is 1730230558, issued on Jan 16, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Byrdstown, TN. The record was last updated on Jan 7, 2025.