Hardeman County Community Health Center
Clinic/Center, Federally Qualified Health Center (FQHC) in Bolivar, TN. Organization (NPI-2).
NPI number1861468340
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1861468340
- Entity type
- Organization (NPI-2)
- Legal business name
- Hardeman County Community Health Center
- Organization subpart
- No
- Enumeration date
- Feb 24, 2006
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
629 Nuckolls RdBolivar, TN 38008-1599
Phone 731-658-3388 · Fax 731-658-4079
Mailing address
Po Box 720Bolivar, TN 38008-0720
Phone 731-658-3388 · Fax 731-658-4079
Authorized official
Mary Heinzen
Executive Director
7316593114
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