Organization
CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC
Active
Parent organization
CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC
Other names
Lauderdale County Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC
Authorized official
AMBER ISBELL (FINANCIAL OFFICER)
(731) 253-6690
Entity
Organization
Contact information
Practice address
317 CLEVELAND ST, RIPLEY, TN 38063
(731) 221-1804
(731) 221-1880
Mailing address
710 CARL PERKINS PKWY, TIPTONVILLE, TN 38063
(731) 253-6690
(731) 253-6692
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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