HARDEMAN COUNTY COMMUNITY HEALTH CENTER NPI 1861468340

NPI Information

NPI: 1861468340
Provider Name: HARDEMAN COUNTY COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
629 NUCKOLLS RD
BOLIVAR, TN
ZIP 38008
Phone: (731) 658-3388
Get Directions

HARDEMAN COUNTY COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Bolivar, TN. HARDEMAN COUNTY COMMUNITY HEALTH CENTER NPI is 1861468340. The provider is registered as an organization entity type.

The provider's business location address is:

629 NUCKOLLS RD
BOLIVAR, TN
ZIP 38008-599
Phone: (731) 658-3388
Fax: (731) 658-4079

The provider's authorized official is Mary Heinzen .
The authorized official title is Executive Director and has the following contact phone number (731) 659-3114.

The enumeration date for this NPI number is 2/24/2006 and was last updated on 4/30/2008.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3712078	MEDICARE PIN
2	4448210	MEDICAID	TENNESSEE
3	441861	MEDICARE OSCAR/CERTIFICATION

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »