Organization
CAMPBELL COUNTY HMA LLC
Active
Other names
Tennova LaFollette Medical Center Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
905 E CENTRAL AVE, LAFOLLETTE, TN 37766-2055
(423) 907-1600
(423) 907-1646
Mailing address
905 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1600
(423) 907-1646
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0000000008
TN
Other
Enumeration date
11/17/2005
Last updated
03/29/2021
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