# DICKSON COMMUNITY CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225611692
- **Authorized official:** VICKI MARIE TERRY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (615) 979-4105

## Contact information

- **Practice address:** 114 HIGHWAY 70 E STE A-5, DICKSON, TN 37055-7030
- **Practice address phone:** (615) 441-1486
- **Practice address fax:** (615) 441-1493
- **Mailing address:** 114 HIGHWAY 70 E STE A-5, DICKSON, TN 37055-7030
- **Mailing address phone:** (615) 441-1486
- **Mailing address fax:** (615) 441-1493

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2021
- **Last updated:** 05/09/2022