# STATE OF TENNESSEE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Montgomery County Health Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194878629
- **Authorized official:** MRS. ANNETTE HALEY (REGIONAL DIRECTOR)
- **Authorized official phone:** (615) 650-7000

## Contact information

- **Practice address:** 330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
- **Practice address phone:** (931) 648-5747
- **Practice address fax:** (931) 645-9019
- **Mailing address:** 330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
- **Mailing address phone:** (931) 648-5747
- **Mailing address fax:** (931) 645-9019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | TN | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 08/28/2012