HARDEMAN COUNTY COMMUNITY HEALTH CENTER – NPI #1942049135
Clinic/Center

HARDEMAN COUNTY COMMUNITY HEALTH CENTER is an AHC clinic located in BOLIVAR, TN. NPPES has assigned the NPI number 1942049135 to HARDEMAN COUNTY COMMUNITY HEALTH CENTER on May 20, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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)

The NPI profile was last updated on Mar 13, 2026. 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 HARDEMAN COUNTY COMMUNITY HEALTH CENTER below.

NPI Profile for
HARDEMAN COUNTY COMMUNITY HEALTH CENTER

NPI Number
1942049135
Enumeration Date

(about 2 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
HARDEMAN COUNTY COMMUNITY HEALTH CENTER
Primary location
627 NUCKOLLS RD
BOLIVAR, TN 38008
Phone: (731) 658-3388 Fax:
Mailing address
PO BOX 720
BOLIVAR, TN 38008-0720
Phone: (731) 658-3388 Fax: (731) 659-3131
Organization Subpart
Yes - HARDEMAN COUNTY COMMUNITY HEALTH CENTER is subpart of another organization.
Authorized Official
CASSANDRA HART
CCO
Phone: (731) 658-3388
Updated
Certification Date
Mar 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.