Organization
CITIZENS OF LAKE COUNTY FOR HEALTH CARE INC
Active
Other names
Obion County Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER MARIE ISBELL (CFO)
(731) 253-6690
Entity
Organization
Contact information
Practice address
321 E HARPER ST, TROY, TN 38260
(731) 442-0956
(731) 253-6692
Mailing address
710 CARL PERKINS PKWY, TIPTONVILLE, TN 38079-1678
(731) 253-6690
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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