Maury Regional Hospital
Clinic/Center, Federally Qualified Health Center (FQHC) in Waynesboro, TN. Organization (NPI-2).
NPI number1669983995
StatusActive
Last updated in NPPESAug 8, 2024
Details
- NPI
- 1669983995
- Entity type
- Organization (NPI-2)
- Legal business name
- Maury Regional Hospital
- Organization subpart
- Yes
- Enumeration date
- Oct 13, 2017
- Certification date
- Aug 8, 2024
- Last updated
- Aug 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Primary Care Federally Qualified Health Center - Waynesboro (Doing Business As)
Practice location
321 Dexter L Woods Memorial Blvd Ste EWaynesboro, TN 38485-2418
Phone 931-722-9999 · Fax 931-722-2049
Mailing address
Po Box 100054Atlanta, GA 30348-0054
Phone 931-796-4901
Authorized official
Charles J Brinkley
Cfo
9315404212
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