institution
Citizens Of Lake County For Health Care Inc
Federally Qualified Health Center (FQHC) in Ridgely, Tennessee
NPI 1851697817

Citizens Of Lake County For Health Care Inc is a Federally Qualified Health Center (FQHC) based in Ridgely, TN and is specialized in Federally Qualified Health Center (FQHC). Citizens Of Lake County For Health Care Inc practices in Ridgely, TN. The NPI Number for Citizens Of Lake County For Health Care Inc is 1851697817 and holds a License No. 6899 (Tennessee).

The current practice location address for Citizens Of Lake County For Health Care Inc is 130 N Main St, Ridgely, TN and can be reached out via phone at 731-264-5518 and via fax at 731-264-6859.

Location: 130 N Main St, Ridgely, TN, 38080-1317
institution
Provider Profile Details
NPI Number
1851697817
Provider Name
Citizens Of Lake County For Health Care Inc
Credential
Provider Entity Type
Organization
Address
130 N Main St, Ridgely, TN, 38080-1317
Phone Number
731-264-5518
Fax Number
731-264-6859
Provider Enumeration Date
02/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 N Main St
City
State
Zip
38080-1317
Phone Number
731-264-5518
Fax Number
731-264-6859
person
Provider Business Mailing Address Details
Address
130 N Main St
City
State
Zip
38080-1317
Phone Number
731-264-5518
Fax Number
731-264-6859
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
6899 (Tennessee)
Definition
Definition to come...
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