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DICKSON COMMUNITY CLINIC INC. NPI 1225611692


NPI Information

NPI: 1225611692
Provider Name: DICKSON COMMUNITY CLINIC, INC.
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 44D2145405

Address:
114 HIGHWAY 70 E STE A-5
DICKSON, TN
ZIP 37055
Phone: (615) 441-1486
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DICKSON COMMUNITY CLINIC, INC. is a rural health clinic center in Dickson, TN. DICKSON COMMUNITY CLINIC, INC. NPI is 1225611692. The provider is registered as an organization entity type.

The provider's business location address is:

114 HIGHWAY 70 E STE A-5
DICKSON, TN
ZIP 37055-030
Phone: (615) 441-1486
Fax: (615) 441-1493

The provider's authorized official is Vicki Marie Terry .
The authorized official title is Executive Director and has the following contact phone number (615) 979-4105.

The CLIA number assigned to this NPI record is 44D2145405 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2021 and was last updated on 5/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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