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State Of Tennessee
Federally Qualified Health Center (FQHC) in Lafayette, Tennessee
NPI 1447301296

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 Lafayette, TN. The NPI Number for State Of Tennessee is 1447301296 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 601 Highway 52 Byp E, Lafayette, TN and can be reached out via phone at 615-666-2142 and via fax at 615-666-6153.

Location: 601 Highway 52 Byp E, Lafayette, TN, 38501-0924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447301296
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
601 Highway 52 Byp E, Lafayette, TN, 38501-0924
Phone Number
615-666-2142
Fax Number
615-666-6153
Provider Enumeration Date
01/16/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
444-7866 05 TN
institution
Provider Business Practice Location Address Details
Address
601 Highway 52 Byp E
City
Lafayette
State
Tennessee
Zip
37083-1009
Phone Number
615-666-2142
Fax Number
615-666-6153
person
Provider Business Mailing Address Details
Address
601 Highway 52 Byp E
City
Lafayette
State
Tennessee
Zip
37083-1009
Phone Number
615-666-2142
Fax Number
615-666-6153
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
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
261QF0400X
License No.
()
Definition
Definition to come...
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