State of Tennessee

Organization Active NPI Federally Qualified Health Center (FQHC) · Monterey, TN

NPI 1609685338 · NPPES record last updated Jan 7, 2025

Key facts

NPI
1609685338
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
STATE OF TENNESSEE
Practice address
400 W Crawford Ave
Monterey, TN 38574-1166
Phone
(315) 204-2039
Fax
(931) 520-3871
NPI assigned
Jan 7, 2025
Organization subpart
No

Authorized official

Name
Tammy Stewart
Title
Cfo
Phone
(931) 520-4203

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Trousdale County Health (202 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

400 W Crawford Ave
Monterey, TN 38574-1166

Mailing address

1100 England Dr
Cookeville, TN 38501-0924
Phone (931) 520-4203

Other names

  • Monterey-Putnam County Health Department Doing business as

Other providers in Monterey, TN

All providers in Monterey, TN · Federally Qualified Health Center (FQHC) in Tennessee

Sources for this page

Verify at the official NPI Registry.