Organization · Type 2 NPI

State of Tennessee

Federally Qualified Health Center (FQHC) · Livingston, TN

NPI number 1902958424 Active

Practice location

5880 Bradford Hicks Dr
Livingston, TN 38570-2236

Call (931) 823-6260 Map

Fax (931) 823-5821

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...

14 other providers at this address

NPI record

NPI: 1902958424
Entity type: Organization (Type 2)
Issued: Jan 17, 2007
Last updated: Jan 7, 2025
Status: Active

Other names

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Overton County Health Department · doing business as
Overton 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 1902958424

State of Tennessee's National Provider Identifier is 1902958424, issued on Jan 17, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Livingston, TN. The record was last updated on Jan 7, 2025.