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Contact Information

HARDEMAN COUNTY COMMUNITY HEALTH CENTER
629 NUCKOLLS RD
BOLIVAR, TN38008-1599
 Phone: 731-658-3388
 Fax: 731-658-4079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for HARDEMAN COUNTY COMMUNITY HEALTH CENTER

NPI # 1861468340
LBN Legal business name HARDEMAN COUNTY COMMUNITY HEALTH CENTER
Authorized official MARY HEINZEN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/24/2006
Last updated 04/23/2025 - More than a year ago
Identifiers
TN Medicaid 4448210
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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