Organization
CAMPBELL COUNTY HMA LLC
Active
Other names
Tennova LaFollette Medical Center Clinic-Jacksboro
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
2145 JACKSBORO PIKE, LA FOLLETTE, TN 37766-3003
(423) 907-1700
(423) 907-1711
Mailing address
PO BOX 743615, ATLANTA, GA 30374-3615
(423) 907-1700
(423) 907-1711
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
03/29/2021
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