| Hickman Medical Center | |
|
5047 Highway 100 Lyles TN 37098-1878 | |
| (931) 670-6525 | |
| (931) 670-6527 |
| Full Name | Hickman Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 5047 Highway 100, Lyles, Tennessee |
| Authorized Official Name and Position | Donna L Mathis (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 9317296779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickman Medical Center 5047 Highway 100 Lyles TN 37098-1878 Ph: (931) 670-6525 | Hickman Medical Center 5047 Highway 100 Lyles TN 37098-1878 Ph: (931) 670-6525 |
| NPI Number | 1225049570 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225049570 | NPI | - | NPPES |
| 0443436 | Medicaid | TN | |
| 4057061 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Three Rivers Community Health Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7723 Clearview Church Ln, Lyles, TN 37098 Phone: 931-670-5520 Fax: 931-670-5312 |