| Henderson Health Center | |
|
1132 Industrial Dr Henderson TN 38340-1310 | |
| (731) 983-3175 | |
| (731) 983-3356 |
| Full Name | Henderson Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1132 Industrial Dr, Henderson, Tennessee |
| Authorized Official Name and Position | Linda Lovelace (COO/CFO) |
| Authorized Official Contact | 7316593125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henderson Health Center Po Box 720 Bolivar TN 38008-0720 Ph: () - | Henderson Health Center 1132 Industrial Dr Henderson TN 38340-1310 Ph: (731) 983-3175 |
| NPI Number | 1366637969 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 02/16/2017 |
| Medicare PECOS PAC ID | 5799694147 |
|---|---|
| Medicare Enrollment ID | O20070919000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366637969 | NPI | - | NPPES |
| 0441916 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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