HICKMAN COMMUNITY HEALTH CARESERVICES; NPI #1225049570

Contact Information

HICKMAN COMMUNITY HEALTH CARESERVICES

5047 HIGHWAY 100
LYLES, TN 37098-1878

Phone: 931-670-6525
Fax: 931-670-6527
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for HICKMAN COMMUNITY HEALTH CARESERVICES

NPI # 1225049570

LBN Legal business name HICKMAN COMMUNITY HEALTH CARESERVICES

Authorized official DONNA MATHIS - (BUSINESS OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/11/2006

Last updated 08/09/2011 - About 15 years ago

Identifiers

TN	Medicaid	0443436
TN	Other	4057061	BCBS

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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