CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC; NPI #1558609628

Contact Information

CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC

317 CLEVELAND ST
RIPLEY, TN 38063

Phone: 731-221-1804
Fax: 731-221-1880
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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

NPI #	`1558609628`
LBN Legal business name	CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC
Authorized official	AMBER ISBELL - (FINANCIAL OFFICER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	01/24/2013
Last updated	01/24/2013 - About 13 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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