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Organization
CAMPBELL COUNTY HMA LLC
Active
Organization
CAMPBELL COUNTY HMA LLC
Active
Other names
Tennova Primary Care Clinton
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
2200 N CHARLES G SEIVERS BLVD, CLINTON, TN 37716-6738
(423) 566-6872
(423) 566-6871
Mailing address
2200 N CHARLES G SEIVERS BLVD, CLINTON, TN 37716-6738
(423) 566-6872
(423) 566-6871
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/04/2021
Last updated
03/29/2021
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