Organization
STATE OF TENNESSEE
Active
Other names
Cannon County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY STEWART (CFO)
(931) 520-4203
Entity
Organization
Contact information
Practice address
106 ALEXANDER DR, WOODBURY, TN 37190-5275
(615) 563-4243
(615) 563-6212
Mailing address
1100 ENGLAND DRIVE, COOKEVILLE, TN 38501-0924
(931) 520-4203
(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
—
444-7860
—
TN
Enumeration date
01/12/2007
Last updated
01/07/2025
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