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Organization

STATE OF TENNESSEE

Active
Other names
Macon County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY STEWART (CFO)
(931) 520-4203
Entity
Organization

Contact information

Practice address
601 HIGHWAY 52 BYP E, LAFAYETTE, TN 37083-1009
(615) 666-2142
(615) 666-6153
Mailing address
1100 ENGLAND DRIVE, COOKEVILLE, TN 38501-0924
(931) 520-4201
(931) 520-3871

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
444-7866
TN
Enumeration date
01/16/2007
Last updated
01/07/2025
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