institution
State Of Tennessee
Federally Qualified Health Center (FQHC) in Sparta, Tennessee
NPI 1811049331

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 Sparta, TN. The NPI Number for State Of Tennessee is 1811049331 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 135 Walker St, Sparta, TN and can be reached out via phone at 931-836-2201 and via fax at 931-836-3580.

Location: 135 Walker St, Sparta, TN, 38501-0924
institution
Provider Profile Details
NPI Number
1811049331
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
135 Walker St, Sparta, TN, 38501-0924
Phone Number
931-836-2201
Fax Number
931-836-3580
Provider Enumeration Date
01/17/2007
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
444-7873 05 TN
institution
Provider Business Practice Location Address Details
Address
135 Walker St
City
State
Zip
38583-1725
Phone Number
931-836-2201
Fax Number
931-836-3580
person
Provider Business Mailing Address Details
Address
135 Walker St
City
State
Zip
38583-1725
Phone Number
931-836-2201
Fax Number
931-836-3580
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.
(Tennessee)
Definition
Definition to come...
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