is a Federally Qualified Health Center (fqhc) in Madisonville, Tennessee. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for is 1548427586. The last update date is .
's current location address is P.o. Box 278, Madisonville, Tennessee. You can contact this provider via phone number 4234422622 and fax number 4234425760. The mailing address for is P.o. Box 278, Madisonville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | P.o. Box 278, Madisonville, Tennessee |
| Phone Number | 4234422622 |
| Fax Number | 4234425760 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1548427586 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | P.o. Box 278 |
|---|---|
| City | Madisonville |
| State | Tennessee (TN) |
| Post Code | 37354 |
| Phone Number | 4234422622 |
| Fax Number | 4234425760 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 441922 | TN | -- | |
| 1507934 | TN | -- |
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