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State Of Tennessee
Federally Qualified Health Center (FQHC) in Jamestown, Tennessee
NPI 1740331792

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 Jamestown, TN. The NPI Number for State Of Tennessee is 1740331792 and holds a License No. ========= (Tennessee).

The current practice location address for State Of Tennessee is 240 Colonial Circle, Jamestown, TN and can be reached out via phone at 931-879-9936 and via fax at 931-879-9938.

Location: 240 Colonial Circle, Jamestown, TN, 38501-0924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740331792
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
240 Colonial Circle, Jamestown, TN, 38501-0924
Phone Number
931-879-9936
Fax Number
931-879-9938
Provider Enumeration Date
01/16/2007
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
444-7864 05 TN
institution
Provider Business Practice Location Address Details
Address
240 Colonial Circle
City
Jamestown
State
Tennessee
Zip
38556-3924
Phone Number
931-879-9936
Fax Number
931-879-9938
person
Provider Business Mailing Address Details
Address
240 Colonial Circle
City
Jamestown
State
Tennessee
Zip
38556-3924
Phone Number
931-879-9936
Fax Number
931-879-9938
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.
========= (Tennessee)
Definition
Definition to come...
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