Organization
STATE OF TENNESSEE
Active
Other names
Stewart County Community Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANNETTE M. HALEY (REGIONAL DIRECTOR)
(615) 650-7000
Entity
Organization
Contact information
Practice address
1021 SPRING ST, DOVER, TN 37058-3302
(931) 232-5329
(931) 232-7247
Mailing address
1021 SPRING ST, DOVER, TN 37058-3302
(931) 232-5329
(931) 232-7247
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
TN
261QF0400X
Federally Qualified Health Center (FQHC)
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4448019
—
TN
Enumeration date
01/18/2007
Last updated
08/28/2012
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