Healthcare Provider Details

I. General information

NPI: 1003065772
Provider Name (Legal Business Name): HARDIN COUNTY REGIONAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 EAST END DRIVE
SAVANNAH TN
38372-1712
US

IV. Provider business mailing address

PO BOX 655
SAVANNAH TN
38372-0655
US

V. Phone/Fax

Practice location:
  • Phone: 731-925-2300
  • Fax: 731-926-1373
Mailing address:
  • Phone: 731-925-2300
  • Fax: 731-925-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: YAINIEH T MCGINLEY
Title or Position: CEO
Credential:
Phone: 731-925-2300