NPIMap

Organization Active NPI

Hardeman County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bolivar, TN
National Provider Identifier
1659875227
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HARDEMAN COUNTY COMMUNITY HEALTH CENTER
Practice address
445 Nuckolls Rd
Bolivar, TN 38008-1539
Phone
(731) 658-3388
NPI assigned
Mar 20, 2018
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HARDEMAN COUNTY COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda D Lovelace
Title
Cfo
Phone
(731) 658-3388

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Student Health Clinic/Center 261QS1000X NU

Addresses

Primary practice location

445 Nuckolls Rd
Bolivar, TN 38008-1539

Mailing address

PO Box 720
Bolivar, TN 38008-0720
Phone (731) 658-3388

Other names 1

  • School Health Cinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615001290 TN Part B Supplier - Clinic/Group Practice 5799694147 Receives reassigned benefits from 14 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bolivar, TN; Stanton, TN; Henderson, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659875227. Details of each certification follow.

  • CCN 441985 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 441985

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SCHOOL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 6, 2018
Last certification
Sep 6, 2018
Ownership / control type
For profit – corporation
Facility address
445 Nuckolls Road
Bolivar, TN 38008

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Hardeman County Community

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1659875227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380080720",
            "telephone_number": "731-658-3388",
            "fax_number": "731-659-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 NUCKOLLS RD",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081539",
            "telephone_number": "731-658-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDEMAN COUNTY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARDEMAN COUNTY COMMUNITY HEALTH CENTER",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "731-658-3388"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "School Health Cinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "School Health Cinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bolivar, TN

Sources for this page

Verify at the official NPI Registry.