institution
State Of Tennessee
Federally Qualified Health Center (FQHC) in Smithville, Tennessee
NPI 1437200474

State Of Tennessee is a Federally Qualified Health Center (FQHC) based in Cookeville, TN and is specialized in Federally Qualified Health Center (FQHC). State Of Tennessee practices in Smithville, TN. The NPI Number for State Of Tennessee is 1437200474 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 254 Tiger Dr, Smithville, TN and can be reached out via phone at 615-597-7599 and via fax at 615-597-1349.

Location: 254 Tiger Dr, Smithville, TN, 38501-0924
institution
Provider Profile Details
NPI Number
1437200474
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
254 Tiger Dr, Smithville, TN, 38501-0924
Phone Number
615-597-7599
Fax Number
615-597-1349
Provider Enumeration Date
01/16/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
444-7863 05 TN
institution
Provider Business Practice Location Address Details
Address
254 Tiger Dr
City
State
Zip
37166-6812
Phone Number
615-597-7599
Fax Number
615-597-1349
person
Provider Business Mailing Address Details
Address
254 Tiger Dr
City
State
Zip
37166-6812
Phone Number
615-597-7599
Fax Number
615-597-1349
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
License No.
()
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
License No.
()
Definition
Definition to come...
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