Organization · Type 2 NPI

State of Tennessee

Federally Qualified Health Center (FQHC) · Woodbury, TN

NPI number 1760532444 Active

Practice location

106 Alexander Dr
Woodbury, TN 37190-5275

Call (615) 563-4243 Map

Fax (615) 563-6212

Mailing address

1100 England Drive
Cookeville, TN 38501-0924

Specialties and licenses

Taxonomy	Code	License
Public Health or Welfare Agency	251K00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

4 other providers at this address

NPI record

NPI: 1760532444
Entity type: Organization (Type 2)
Issued: Jan 12, 2007
Last updated: Jan 7, 2025
Status: Active

Other names

<unavail>
Cannon County Health Department · doing business as
Cannon County Health Department · doing business as

Authorized official

Tammy Stewart
CFO
(931) 520-4203

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760532444

State of Tennessee's National Provider Identifier is 1760532444, issued on Jan 12, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Woodbury, TN. The record was last updated on Jan 7, 2025.