THREE RIVERS COMMUNITY HEALTH GROUP - NPI 1659567527

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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About Three Rivers Community Health Group NPPES

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

THREE RIVERS COMMUNITY HEALTH GROUP (NPI 1659567527) is a healthcare organization registered as a federally qualified health center (fqhc) in Lyles, Tennessee and active in the NPI registry since September 2007. The organization holds a CLIA Certificate of Compliance certificate valid through December 9, 2026 and lists Phillip Tatum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659567527

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NamePERRY COUNTY MEDICAL CENTER, INC.

Location Address7723 CLEARVIEW CHURCH LNLyles, TN 37098-1609

Mailing AddressPo Box 129Lyles, TN 37098-0129 · (931) 670-5520 · Fax (931) 670-5312

Phone(931) 670-5520

Fax(931) 670-5312

Organization SubpartYes

Authorized OfficialPhillip TatumCeo · (931) 589-2104

Enumeration DateSeptember 24, 2007

Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration

NPPES CertifiedAugust 13, 2020

✔ NPI 1659567527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

7723 CLEARVIEW CHURCH LN, Lyles, TN 37098

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Other Names 2

Doing Business AsThree Rivers Community Health Group

Other NameThree Rivers Community Health-hickman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 of Compliance 44D1075505

Perry County Medical Center Dba Three Rivers Community Health-Hickman · Lyles, TN

Active · expires Dec 9, 2026

CLIA Number44D1075505

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateDecember 10, 2024

Certificate Expiration DateDecember 9, 2026

Laboratory DirectorDr. Jeffrey G. Smith

Laboratory Phone(931) 670-5520

Laboratory LocationPerry County Medical Center Dba Three Rivers Community Health-Hickman7723 Clearview Church Lane, Lyles, TN 37098

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

COMMUNITY PHARMACY CARE, INC.

Pharmacist