National Provider Identifier Database

CITIZENS OF LAKE COUNTY FOR HEALTH CARE INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC
317 CLEVELAND ST
RIPLEY, TN38063
Phone: 731-221-1804
Fax: 731-221-1880
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC

NPI Number 1558609628
Legal business name
LBN
CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC
Authorized official AMBER ISBELL - (FINANCIAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 01/24/2013
Last updated 01/24/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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