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Contact Information

WYNN HABERSHAM COMMUNITY CLINIC INC
1037 STINKING CREEK RD
LAFOLLETTE, TN37766-6108
 Phone: 423-784-5110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for WYNN HABERSHAM COMMUNITY CLINIC INC

NPI Number 1417093857
LBN Legal business name WYNN HABERSHAM COMMUNITY CLINIC INC
Authorized official CHARLES WILKENS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2007
Last updated 07/16/2007 - About 19 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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