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WYNN HABERSHAM COMMUNITY CLINIC INC
NPI 1417093857
Clinic/Center - Rural Health in La Follette, TN

Active since January 30, 2007
1037 STINKING CREEK RD, LA FOLLETTE, TN 37766(423) 784-5110 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wynn Habersham Community Clinic Inc NPPES

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

WYNN HABERSHAM COMMUNITY CLINIC INC (NPI 1417093857) is a healthcare organization registered as a rural health in La Follette, Tennessee and active in the NPI registry since January 2007. The organization lists Charles H. Wilkens, Owner, as its authorized official.

NPPES Registry Identity

NPI1417093857
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWYNN HABERSHAM COMMUNITY CLINIC INC
Location Address1037 STINKING CREEK RDLa Follette, TN 37766-6108
Mailing AddressPo Box 946Jellico, TN 37762-0946 · (423) 784-0269
Phone(423) 784-5110
Organization SubpartNo
Authorized OfficialCharles H. WilkensOwner · (423) 784-5110
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 16, 2007
✔ NPI 1417093857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1037 STINKING CREEK RD, La Follette, TN 37766
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Other Identifiers 2

Medicare ID-Type Unspecified443872TN
Medicare PIN3380567TN

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 Wynn Habersham Community Clinic Inc's NPI number?

The NPI number for Wynn Habersham Community Clinic Inc is 1417093857. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Wynn Habersham Community Clinic Inc located?

Wynn Habersham Community Clinic Inc is located at 1037 Stinking Creek Rd, La Follette, TN 37766. The listed phone number is (423) 784-5110.

What is Wynn Habersham Community Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Wynn Habersham Community Clinic Inc was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.