Healthcare Provider Details

I. General information

NPI: 1962264622
Provider Name (Legal Business Name): COUNTY OF HICKMAN SUPERINTENDENT OF SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 MURPHREE AVE
CENTERVILLE TN
37033-1443
US

IV. Provider business mailing address

115 MURPHREE AVE
CENTERVILLE TN
37033-1443
US

V. Phone/Fax

Practice location:
  • Phone: 423-622-1551
  • Fax: 877-856-7133
Mailing address:
  • Phone: 423-622-1551
  • Fax: 877-856-7133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: KARA HOBBS
Title or Position: COORDINATED SCHOOL HEALTH DIRECTOR
Credential:
Phone: 423-622-1551