Organization
CITIZENS OF LAKE COUNTY FOR HEALTH CARE INC
Active
Other names
William B, Acree Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAYANNE CARTWRIGHT WILLIAMS (EXECUTIVE DIRECTOR)
(731) 253-6690
Entity
Organization
Contact information
Practice address
130 N MAIN ST, RIDGELY, TN 38080-1317
(731) 264-5518
(731) 264-6859
Mailing address
130 NORTH MAIN STREET, RIDGELY, TN 38080-1317
(731) 264-5518
(731) 264-6859
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6899
TN
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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