# CAMPBELL COUNTY HMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tennova Primary Care Caryville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023613361
- **Authorized official:** PAULA LALOR (DIRECTOR /DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 140 JOHN MCGHEE BLVD, CARYVILLE, TN 37714-3155
- **Practice address phone:** (865) 647-3230
- **Practice address fax:** (423) 566-6871
- **Mailing address:** 140 JOHN MCGHEE BLVD, CARYVILLE, TN 37714-3155
- **Mailing address phone:** (865) 647-3230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2020
- **Last updated:** 03/29/2021