MONTGOMERY COUNTY HEALTH DEPARTMENT NPI 1356712673

NPI Information

NPI: 1356712673
Provider Name: MONTGOMERY COUNTY HEALTH DEPARTMENT
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

CLIA Number: 44D2229610

Address:
330 PAGEANT LN
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 648-5747
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MONTGOMERY COUNTY HEALTH DEPARTMENT is a public health and state or local clinic center in Clarksville, TN. MONTGOMERY COUNTY HEALTH DEPARTMENT NPI is 1356712673. The provider is registered as an organization entity type.

The provider's business location address is:

330 PAGEANT LN
CLARKSVILLE, TN
ZIP 37040-854
Phone: (931) 648-5747

The provider's authorized official is Wendi Sue Jones .
The authorized official title is Registered Nurse and has the following contact phone number (615) 330-6580.

The CLIA number assigned to this NPI record is 44D2229610 - other - jail medical unit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2015 and was last updated on 10/13/2015.

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
1	261QP0905X	Clinic/Center	Public Health, State or Local			Yes

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: 4/28/2024

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