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State Of Tennessee
Federally Qualified Health Center (FQHC) in Spencer, Tennessee
NPI 1942352554

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 Spencer, TN. The NPI Number for State Of Tennessee is 1942352554 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 907 Old Mcminnville St, Spencer, TN and can be reached out via phone at 931-946-2438 and via fax at 931-946-7106.

Location: 907 Old Mcminnville St, Spencer, TN, 38501-0924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942352554
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
907 Old Mcminnville St, Spencer, TN, 38501-0924
Phone Number
931-946-2438
Fax Number
931-946-7106
Provider Enumeration Date
01/17/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
444-7871 05 TN
institution
Provider Business Practice Location Address Details
Address
907 Old Mcminnville St
City
Spencer
State
Tennessee
Zip
38585-3200
Phone Number
931-946-2438
Fax Number
931-946-7106
person
Provider Business Mailing Address Details
Address
907 Old Mcminnville St
City
Spencer
State
Tennessee
Zip
38585-3200
Phone Number
931-946-2438
Fax Number
931-946-7106
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.
()
Definition
Definition to come...
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