# FAITH HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAITH HEALTHCENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740594217
- **Authorized official:** DAVID M LARSEN M.D. (DIRECTOR)
- **Authorized official phone:** (731) 215-2500

## Contact information

- **Practice address:** 655 LEXINGTON AVE, JACKSON, TN 38301-5075
- **Practice address phone:** (731) 215-2500
- **Practice address fax:** (731) 215-2500
- **Mailing address:** 655 LEXINGTON AVENUE, JACKSON, TN 38301
- **Mailing address phone:** (731) 215-2500
- **Mailing address fax:** (731) 215-2501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9731 | TN | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 03/17/2018