# HICKMAN COMMUNITY HEALTH CARESERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hickman Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225049570
- **Authorized official:** MRS. DONNA L MATHIS (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (931) 729-6779

## Contact information

- **Practice address:** 5047 HIGHWAY 100, LYLES, TN 37098-1878
- **Practice address phone:** (931) 670-6525
- **Practice address fax:** (931) 670-6527
- **Mailing address:** 5047 HIGHWAY 100, LYLES, TN 37098-1878
- **Mailing address phone:** (931) 670-6525
- **Mailing address fax:** (931) 670-6527

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 08/09/2011