# TENNESSEE DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stewart County Community Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558675728
- **Authorized official:** EVELYN VAILLENCOURT (DIRECTOR)
- **Authorized official phone:** (931) 232-5329

## Contact information

- **Practice address:** 1021 SPRING ST, DOVER, TN 37058-3302
- **Practice address phone:** (931) 232-5329
- **Practice address fax:** (931) 232-7247
- **Mailing address:** 425 5TH AVE N, 4TH FLOOR, NASHVILLE, TN 37243-3400
- **Mailing address phone:** (615) 741-4733
- **Mailing address fax:** (615) 532-2286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | DO0000001638 | TN | Yes |

## Other

- **Enumeration date:** 07/30/2010
- **Last updated:** 07/30/2010