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Organization

PERRY COUNTY MEDICAL CENTER, INC.

Active
Parent organization
PERRY COUNTY MEDICAL CENTER, INC.
Other names
Three Rivers Community Health-Hickman, Three Rivers Community Health Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
PERRY COUNTY MEDICAL CENTER, INC.
Authorized official
PHILLIP TATUM (CEO)
(931) 589-2104
Entity
Organization

Contact information

Practice address
7723 CLEARVIEW CHURCH LN, LYLES, TN 37098-1609
(931) 670-5520
(931) 670-5312
Mailing address
PO BOX 129, LYLES, TN 37098-0129
(931) 670-5520
(931) 670-5312

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
09/24/2007
Last updated
08/13/2020
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