# STATE OF TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Tennessee Regional Health Office Communiable Disease Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366592552
- **Authorized official:** MRS. MARILYN BARNES (REGIONAL DIRECTOR)
- **Authorized official phone:** (731) 421-6700

## Contact information

- **Practice address:** 295 SUMMAR AVE, JACKSON, TN 38301
- **Practice address phone:** (731) 421-6730
- **Practice address fax:** (731) 421-5000
- **Mailing address:** 295 SUMMAR AVE, JACKSON, TN 38301
- **Mailing address phone:** (731) 421-6730
- **Mailing address fax:** (731) 421-5000

## Taxonomy

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

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 09/01/2010