| School Health Cinic | |
|
445 Nuckolls Rd Bolivar TN 38008-1539 | |
| (731) 658-3388 | |
| Not Available |
| Full Name | School Health Cinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 445 Nuckolls Rd, Bolivar, Tennessee |
| Authorized Official Name and Position | Linda D Lovelace (CFO) |
| Authorized Official Contact | 7316583388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| School Health Cinic Po Box 720 Bolivar TN 38008-0720 Ph: (731) 658-3388 | School Health Cinic 445 Nuckolls Rd Bolivar TN 38008-1539 Ph: (731) 658-3388 |
| NPI Number | 1659875227 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659875227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
| 261QS1000X | Clinic/center - Student Health | (NU) | Secondary |
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