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Organization

HICKMAN COMMUNITY HEALTH CARESERVICES

Active
Other names
Hickman Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DONNA L MATHIS (BUSINESS OFFICE MANAGER)
(931) 729-6779
Entity
Organization

Contact information

Practice address
5047 HIGHWAY 100, LYLES, TN 37098-1878
(931) 670-6525
(931) 670-6527
Mailing address
5047 HIGHWAY 100, LYLES, TN 37098-1878
(931) 670-6525
(931) 670-6527

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0443436
TN
01
4057061
BCBS
TN
Enumeration date
08/11/2006
Last updated
08/09/2011
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