HARDEMAN COUNTY COMMUNITY HEALTH CENTER
NPI 1285343764
Clinic/Center - Community Health in Bolivar, TN

Active since November 23, 2022CLIA 44D0867795 · Microscopy
629 NUCKOLLS RD, BOLIVAR, TN 38008(731) 658-3388(731) 659-3131 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hardeman County Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARDEMAN COUNTY COMMUNITY HEALTH CENTER (NPI 1285343764) is a healthcare organization registered as a community health in Bolivar, Tennessee and active in the NPI registry since November 2022. The organization holds a CLIA Microscopy certificate valid through October 10, 2026 and lists Linda D Lovelace, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1285343764
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameHARDEMAN COUNTY COMMUNITY HEALTH CENTER
Location Address629 NUCKOLLS RDBolivar, TN 38008-1599
Mailing AddressPo Box 720Bolivar, TN 38008-0720 · (731) 659-3125 · Fax (731) 659-3131
Fax(731) 659-3131
Organization SubpartYes
Authorized OfficialLinda D LovelaceChief Financial Officer · (731) 658-3388
Enumeration DateNovember 23, 2022
NPPES CertifiedNovember 23, 2022
NPI 1285343764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
629 NUCKOLLS RD, Bolivar, TN 38008

Other Names 1

Other NameHcchc Mobile Medical Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0867795

Hardeman County Community Health Center · Bolivar, TN
Active · expires Oct 10, 2026
CLIA Number44D0867795
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorJudith Tessema
Laboratory Phone(901) 658-3388
Laboratory LocationHardeman County Community Health Center629 Nuckolls Road, Bolivar, TN 38008
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
629 NUCKOLLS RD
BOLIVAR, TN 38008
Family Medicine
629 NUCKOLLS RD
BOLIVAR, TN 38008
Nurse Practitioner (Family)
629 NUCKOLLS RD
BOLIVAR, TN 38008
Pharmacist
629 NUCKOLLS RD
BOLIVAR, TN 38008
Family Medicine
629 NUCKOLLS RD
BOLIVAR, TN 38008
Family Medicine
629 NUCKOLLS RD
BOLIVAR, TN 38008
Family Medicine
629 NUCKOLLS RD
BOLIVAR, TN 38008
Pharmacist
629 NUCKOLLS RD
BOLIVAR, TN 38008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hardeman County Community Health Center's NPI number?

The NPI number for Hardeman County Community Health Center is 1285343764. It was assigned to this organization in the NPPES registry on November 23, 2022. The provider is also known as HCCHC Mobile Medical Clinic.

Where is Hardeman County Community Health Center located?

Hardeman County Community Health Center is located at 629 Nuckolls Rd, Bolivar, TN 38008. The listed phone number is (731) 658-3388.

What is Hardeman County Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Hardeman County Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0867795) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hardeman County Community Health Center was last updated on November 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.