Organization · Type 2 NPI

State of Tennessee

Federally Qualified Health Center (FQHC) · Sparta, TN

NPI number 1811049331 Active

Practice location

135 Walker St
Sparta, TN 38583-1725

Call (931) 836-2201 Map

Fax (931) 836-3580

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...

17 other providers at this address

About NPI 1811049331

State of Tennessee's National Provider Identifier is 1811049331, issued on Jan 17, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sparta, TN. The record was last updated on Jan 7, 2025.