National Provider Identifier Database

HICKMAN COMMUNITY HEALTH CARESERVICES
Rural Health


Contact Information

HICKMAN COMMUNITY HEALTH CARESERVICES
5047 HIGHWAY 100
LYLES, TN37098-1878
Phone: 931-670-6525
Fax: 931-670-6527
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for HICKMAN COMMUNITY HEALTH CARESERVICES

NPI Number 1225049570
Legal business name
LBN
HICKMAN COMMUNITY HEALTH CARESERVICES
Authorized official DONNA MATHIS - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/11/2006
Last updated 08/09/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 0443436
  • TN Other: 4057061 BCBS

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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