# CAMPBELL COUNTY HMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tennova LaFollette Medical Center Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407838261
- **Authorized official:** PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 905 E CENTRAL AVE, LAFOLLETTE, TN 37766-2055
- **Practice address phone:** (423) 907-1600
- **Practice address fax:** (423) 907-1646
- **Mailing address:** 905 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
- **Mailing address phone:** (423) 907-1600
- **Mailing address fax:** (423) 907-1646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 0000000008 | TN | Yes |

## Other

- **Enumeration date:** 11/17/2005
- **Last updated:** 03/29/2021