CITIZENS OF LAKE COUNTY FOR HEALTH CARE INC (NPI# 1619593944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619593944 |
| Entity Type | Organization |
| Organization Name | CITIZENS OF LAKE COUNTY FOR HEALTH CARE INC |
| Practice Address |
321 E Harper St Troy TN 38260 |
| Mailing Address |
710 Carl Perkins Pkwy Tiptonville TN 38079-1678 |
| Practice Telephone | 7314420956 |
| Practice Fax Number | 7312536692 |
| Mailing Telephone | 7312536690 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | AMBER MARIE ISBELL (CFO) |
| Authorized Official Telephone | 7312536690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Obion County Medical Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851697817 | Citizens of Lake County for Health Care Inc | Clinic/Center | 130 N Main St, Ridgely, TN 38080-1317 | 2011-02-08 |
| 1841311529 | Citizens of Lake County for Health Care Inc | Clinic/Center | 710 Carl Perkins Pkwy, Tiptonville, TN 38079 | 2007-04-02 |
| Street Address |
321 E HARPER ST |
| City | TROY |
| State | TN |
| Zip Code | 38260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303924 | Priority One Medical Care Pllc | Clinic/Center | 938 S Sanders Rd, Troy, TN 38260-3841 | 2018-07-24 |
| 1932681178 | Amanda Brooke Alexander | Nurse Practitioner | 3771 W Shawtown Rd, Troy, TN 38260-4047 | 2018-09-04 |
| 1518323161 | Cindy Edwards | Physical Therapy Assistant | 1386 Forgiveness Ln, Troy, TN 38260-4762 | 2016-01-12 |
| 1346305760 | Shirley Dobbins | Pharmacy | 404 E Harper St, Troy, TN 38260-5946 | 2006-12-26 |
| 1801087143 | Karen Taylor Tennant | Pharmacist | 404 E Harper St, Troy, TN 38260-5946 | 2007-08-01 |
| 1780802249 | Kristi Hamlin Totty | Pharmacist | 404 E Harper St, Troy, TN 38260-5946 | 2007-04-23 |
| 1891242301 | Air Evac Ems, Inc. | Ambulance | 701 Cc Gurien Dr, Troy, TN 38260-5949 | 2016-09-01 |
| 1336190081 | Allcare Medical Troy, Pllc | Clinic/Center | 316 E Harper St, Troy, TN 38260-5951 | 2006-05-15 |
| 1881051522 | Melissa Mcmackin | Nurse Practitioner | 316 E Harper St, Troy, TN 38260-5951 | 2016-01-26 |
| 1770926859 | Allcare Medical Troy, Pllc | Nurse Practitioner | 316 E Harper St, Troy, TN 38260-5951 | 2013-04-09 |
| Find all providers in zip 38260 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1417243213 | Lincoln County Community Health Center, Inc | Clinic/Center | 206 Callahan Rd, Troy, MT 59935 | 2011-06-21 |
| 1083864458 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 849 2nd Ave, Troy, NY 12182-2085 | 2008-09-23 |
| 1043220585 | Southeast Alabama Rural Health Associates | Clinic/Center | 1414 Elba Hwy, Troy, AL 36079-6020 | 2006-08-08 |
| 1073062592 | Compass Health, Inc. | Clinic/Center | 5 Dandelion Dr, Troy, MO 63379-3177 | 2016-09-26 |
| 1578625125 | Southeast Alabama Rural Health Associates | Clinic/Center | 1412 Elba Hwy, Troy, AL 36079 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525809 | Christ Community Health Services, Inc | Clinic/Center | 4350 Chuck Ave, Memphis, TN 38118-4076 | 2020-07-08 |
| 1730707621 | Christ Community Health Services, Inc. | Clinic/Center | 3206 Poplar Ave, Memphis, TN 38111-3502 | 2020-07-08 |
| 1003442112 | Christ Commuity Health Services Inc | Clinic/Center | 3360 S 3rd St, Memphis, TN 38109-2944 | 2020-03-20 |
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1194245399 | United Neighborhood Health Services, Inc. | Clinic/Center | 442 Metroplex Dr Ste 200, Nashville, TN 37211-3112 | 2017-06-20 |
| 1659745354 | Memphis Health Center, Inc. | Clinic/Center | 4250 Faronia Rd Ste 2a, Memphis, TN 38116-6527 | 2015-11-18 |
| 1639546187 | United Neighborhood Health Services, Inc. | Clinic/Center | 3904 Gallatin Pike, Nashville, TN 37216 | 2015-08-31 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1285999128 | United Neighborhood Health Services, Inc | Clinic/Center | 401 Walton Ln, Nashville, TN 37216-1018 | 2012-07-06 |
| 1891058848 | United Neighborhood Health Services, Inc | Clinic/Center | 1900 Hobson Pike, Antioch, TN 37013-2421 | 2012-06-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.