institution
State Of Tennessee
Federally Qualified Health Center (FQHC) in Livingston, Tennessee
NPI 1902958424

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 Livingston, TN. The NPI Number for State Of Tennessee is 1902958424 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 5880 Bradford Hicks Dr, Livingston, TN and can be reached out via phone at 931-823-6260 and via fax at 931-823-5821.

Location: 5880 Bradford Hicks Dr, Livingston, TN, 38501-0924
institution
Provider Profile Details
NPI Number
1902958424
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
5880 Bradford Hicks Dr, Livingston, TN, 38501-0924
Phone Number
931-823-6260
Fax Number
931-823-5821
Provider Enumeration Date
01/17/2007
Last Update Date
01/18/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
444-7867 05 TN
institution
Provider Business Practice Location Address Details
Address
5880 Bradford Hicks Dr
City
State
Zip
38570-2236
Phone Number
931-823-6260
Fax Number
931-823-5821
person
Provider Business Mailing Address Details
Address
5880 Bradford Hicks Dr
City
State
Zip
38570-2236
Phone Number
931-823-6260
Fax Number
931-823-5821
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.
()
Definition
Definition to come...
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