LAUDERDALE COUNTY MEDICAL CLINIC – NPI #1558609628
Clinic/Center

LAUDERDALE COUNTY MEDICAL CLINIC is an AHC clinic located in RIPLEY, TN. NPPES has assigned the NPI number 1558609628 to LAUDERDALE COUNTY MEDICAL CLINIC on January 24, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAUDERDALE COUNTY MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAUDERDALE COUNTY MEDICAL CLINIC below.

NPI Profile for
CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC

NPI Number
1558609628
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC
Doing Business As (dba): LAUDERDALE COUNTY MEDICAL CLINIC
Primary location
317 CLEVELAND ST
RIPLEY, TN 38063
Phone: (731) 221-1804 Fax: (731) 221-1880
Mailing address
710 CARL PERKINS PKWY
TIPTONVILLE, TN 38063
Phone: (731) 253-6690 Fax: (731) 253-6692
Organization Subpart
Yes - LAUDERDALE COUNTY MEDICAL CLINIC is subpart of another organization.
Authorized Official
AMBER ISBELL
FINANCIAL OFFICER
Phone: (731) 253-6690
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.