Wynn Habersham Community Clinic Inc in La Follette - Rural Health

Wynn Habersham Community Clinic Inc - NPI 1417093857

Wynn Habersham Community Clinic Inc is a Rural Health in La Follette, Tennessee. Wynn Habersham Community Clinic Inc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Wynn Habersham Community Clinic Inc is 1417093857. The last update date is 2007-07-16.

Wynn Habersham Community Clinic Inc's current location address is 1037 Stinking Creek Rd, La Follette, Tennessee. You can contact this provider via phone number 4237845110. The mailing address for Wynn Habersham Community Clinic Inc is 1037 Stinking Creek Rd, La Follette, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wynn Habersham Community Clinic Inc
Address 1037 Stinking Creek Rd, La Follette, Tennessee
Phone Number 4237845110
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Wilkens H. Charles
Credentials M.D.
Telephone Number 4237845110

NPI Number Detail

NPI Number 1417093857
Provider Enumeration Date 2007-01-30
Last Updated Date 2007-07-16

Provider Mailing Address Detail

Address 1037 Stinking Creek Rd
City La Follette
State Tennessee (TN)
Post Code 3776661080
Phone Number 4237845110
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rural Health
Taxonomy 261Qr1300X
Definition:
Provides primary care and preventive health services in rural medically underserved areas.

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FAQs about Wynn Habersham Community Clinic Inc

What is the Wynn Habersham Community Clinic Inc's 1417093857?

The Wynn Habersham Community Clinic Inc's NPI (National Provider Identifier) Number is 1417093857. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Wynn Habersham Community Clinic Inc is physically located?

The Wynn Habersham Community Clinic Inc is situated at the following address: 1037 Stinking Creek Rd, La Follette, TN 3776661080.

What is Wynn Habersham Community Clinic Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wynn Habersham Community Clinic Inc is Rural Health, and the taxonomy code that categorizes this field of expertise is 261Qr1300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417093857 to Wynn Habersham Community Clinic Inc?

The Centers for Medicare & Medicaid Services assigned the 1417093857 to Wynn Habersham Community Clinic Inc on 2007-01-30.

When was the Wynn Habersham Community Clinic Inc's information last updated?

The Wynn Habersham Community Clinic Inc's information was last updated on 2007-07-16.

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