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State Of Tennessee
Federally Qualified Health Center (FQHC) in Crossville, Tennessee
NPI 1487705414

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 Crossville, TN. The NPI Number for State Of Tennessee is 1487705414 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 1503 South Main Street, Crossville, TN and can be reached out via phone at 931-484-6196 and via fax at 931-456-1047.

Location: 1503 South Main Street, Crossville, TN, 38501-0924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487705414
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
1503 South Main Street, Crossville, TN, 38501-0924
Phone Number
931-484-6196
Fax Number
931-456-1047
Provider Enumeration Date
01/16/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
444-7862 05 TN
institution
Provider Business Practice Location Address Details
Address
1503 South Main Street
City
Crossville
State
Tennessee
Zip
38555-5967
Phone Number
931-484-6196
Fax Number
931-456-1047
person
Provider Business Mailing Address Details
Address
1503 South Main Street
City
Crossville
State
Tennessee
Zip
38555-5967
Phone Number
931-484-6196
Fax Number
931-456-1047
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
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
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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