CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC


Address: 317 Cleveland St, Ripley, TN 38063
Phone: 7312211804

CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC (NPI# 1558609628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558609628
Entity Type Organization
Organization Name CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC
Other Organization Name LAUDERDALE COUNTY MEDICAL CLINIC
Practice Address 317 Cleveland St
Ripley
TN 38063
Mailing Address 710 Carl Perkins Pkwy
Tiptonville
TN 38063
Practice Telephone 7312211804
Practice Fax Number 7312211880
Mailing Telephone 7312536690
Mailing Fax Number 7312536692
Enumeration Date 2013-01-24
Last Update Date 2013-01-24
Authorized Official Name AMBER ISBELL (FINANCIAL OFFICER)
Authorized Official Telephone 7312536690
Is Organization Subpart Y
Parent Organization Name CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Lauderdale County Medical Clinic Doing Business As Name - Organization

Office Location

Street Address 317 CLEVELAND ST
City RIPLEY
State TN
Zip Code 38063

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497999155 Suzette Carroll Stanley Nurse Practitioner 317 Cleveland St, Ripley, TN 38063-1205 2009-04-26
1417479965 Katrina Jo Korszoloski Nurse Practitioner 317 Cleveland St, Ripley, TN 38063-1205 2017-07-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609327246 Ld&h Specialized Care Services Preferred Provider Organization 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 2016-10-19
1477984508 Mid-south Convenient Care, Pllc Family Medicine 521 Hwy 51 North, Ripley, TN 38063 2013-11-27
1285879577 The Wellness Center of West Tn Inc Technician 171 Tucker Street, Ripley, TN 38063 2008-12-16
1023281185 Aniko Vedette Campbell Nurse Practitioner 79 Highway 51 South, Christian Family Medicine, Ripley, TN 38063 2008-04-10
1275750556 Annabelle Chua Physical Therapist 326 Asbury Rd, Ripley, TN 38063 2007-04-19
1073659058 Thomas Ross Patterson Dentist 500 Hwy 51 South, Ripley, TN 38063 2007-01-29
1144370305 State of Tennessee Public Health or Welfare 500 Highway 51 South, Ripley, TN 38063 2007-01-11
1669479036 Syed A Zaidi Specialist 868 Highway 51 South, Suite 101, Ripley, TN 38063 2005-06-30
1083962633 James Matthew Harper Optometrist 479 S Washington St, Ripley, TN 38063 2012-08-29
1992069538 Cah Acquisition Company 11 LLC Surgery 326 Asbury Ave, Ripley, TN 38063 2012-06-28
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992190367 Ripley Health Care Associates Clinic/Center 749 S Line St, Ripley, MS 38663-2811 2015-04-02
1992330997 Lewis County Primary Care Center, Inc. Clinic/Center 502 S 2nd St, Ripley, OH 45167-1306 2020-03-10
1841222155 Healthsource of Ohio, Inc. Clinic/Center 14 N 2nd St, Ripley, OH 45167-1101 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912525809 Christ Community Health Services, Inc Clinic/Center 4350 Chuck Ave, Memphis, TN 38118-4076 2020-07-08
1730707621 Christ Community Health Services, Inc. Clinic/Center 3206 Poplar Ave, Memphis, TN 38111-3502 2020-07-08
1003442112 Christ Commuity Health Services Inc Clinic/Center 3360 S 3rd St, Memphis, TN 38109-2944 2020-03-20
1689160939 Maury Regional Hospital Clinic/Center 98 Experiment Station Lane, Columbia, TN 38401-4700 2018-07-10
1194245399 United Neighborhood Health Services, Inc. Clinic/Center 442 Metroplex Dr Ste 200, Nashville, TN 37211-3112 2017-06-20
1659745354 Memphis Health Center, Inc. Clinic/Center 4250 Faronia Rd Ste 2a, Memphis, TN 38116-6527 2015-11-18
1639546187 United Neighborhood Health Services, Inc. Clinic/Center 3904 Gallatin Pike, Nashville, TN 37216 2015-08-31
1790170389 Maury Regional Hospital Clinic/Center 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 2015-04-01
1285999128 United Neighborhood Health Services, Inc Clinic/Center 401 Walton Ln, Nashville, TN 37216-1018 2012-07-06
1891058848 United Neighborhood Health Services, Inc Clinic/Center 1900 Hobson Pike, Antioch, TN 37013-2421 2012-06-23
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Competitor

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City RIPLEY
Zip Code 38063

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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