Humphreys County Community Health Services INC
Clinic/Center, Rural Health in Waverly, TN. Organization (NPI-2).
NPI number1164033213
StatusActive
Last updated in NPPESApr 4, 2022
Details
- NPI
- 1164033213
- Entity type
- Organization (NPI-2)
- Legal business name
- Humphreys County Community Health Services INC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2020
- Certification date
- Apr 4, 2022
- Last updated
- Apr 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Other names
- Ascension Saint Thomas Three Rivers Primary Care (Doing Business As)
Practice location
451 Highway 13 SWaverly, TN 37185-2109
Phone 931-296-0211 · Fax 931-296-0199
Mailing address
451 Highway 13 SWaverly, TN 37185-2109
Phone 931-296-0211 · Fax 931-296-0199
Authorized official
Shannon Allison
Finance Manager
9312960111
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