Gibson County Health Department Humboldt Clinic

LBN: State Of Tennessee
Gibson County Health Department Humboldt Clinic is an health care organization with primary practice located at 149 North 12Th Street , Humboldt TN 38343. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. State Of Tennessee can be contacted via phone (731) 784-5491, or through Barnes, Marilyn via phone (731) 421-6700.

Contact Information

Primary practice address
149 North 12Th Street Humboldt TN 38343
Phone: (731) 784-5491
Fax: (731) 784-1726
Website:
Map and Directions
Authorized official contact:
Name: Barnes, Marilyn
Phone: (731) 421-6700

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1821148081
LBN Legal business name State Of Tennessee
DBA Doing business as Gibson County Health Department Humboldt Clinic
Authorized official Barnes, Marilyn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 25th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821148081 NPPES
Tennessee MEDICAID 4448184

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