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State Of Tennessee
Federally Qualified Health Center (FQHC) in Dover, Tennessee
NPI 1083767883

State Of Tennessee is a Federally Qualified Health Center (FQHC) based in Dover, TN and is specialized in Federally Qualified Health Center (FQHC). State Of Tennessee practices in Dover, TN. The NPI Number for State Of Tennessee is 1083767883 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 1021 Spring St, Dover, TN and can be reached out via phone at 931-232-5329 and via fax at 931-232-7247.

Location: 1021 Spring St, Dover, TN, 37058-3302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083767883
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
1021 Spring St, Dover, TN, 37058-3302
Phone Number
931-232-5329
Fax Number
931-232-7247
Provider Enumeration Date
01/18/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4448019 05 TN
institution
Provider Business Practice Location Address Details
Address
1021 Spring St
City
Dover
State
Tennessee
Zip
37058-3302
Phone Number
931-232-5329
Fax Number
931-232-7247
person
Provider Business Mailing Address Details
Address
1021 Spring St
City
Dover
State
Tennessee
Zip
37058-3302
Phone Number
931-232-5329
Fax Number
931-232-7247
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
(Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
(Tennessee)
Definition
Definition to come...
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