MONTGOMERY COUNTY WIC CLINIC
NPI 1659687978
Public Health or Welfare in Clarksville, TN

Active since August 24, 2010
300 PAGEANT LN, CLARKSVILLE, TN 37040(931) 551-8777(931) 503-0694 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Montgomery County Wic Clinic NPPES

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

MONTGOMERY COUNTY WIC CLINIC (NPI 1659687978) is a healthcare organization registered as a public health or welfare in Clarksville, Tennessee and active in the NPI registry since August 2010. The organization lists Annette Haley, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1659687978
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameSTATE OF TENNESSEE
Location Address300 PAGEANT LNClarksville, TN 37040-3854
Mailing Address300 Pageant LnClarksville, TN 37040-3854 · (931) 551-8777 · Fax (931) 503-0694
Fax(931) 503-0694
Organization SubpartNo
Authorized OfficialAnnette HaleyRegional Director · (615) 650-7000
Enumeration DateAugust 24, 2010
Last NPPES UpdateAugust 28, 2012
NPI 1659687978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
300 PAGEANT LN, Clarksville, TN 37040

Other Names 1

Doing Business AsMontgomery County Wic Clinic

Other Identifiers 2

Medicaid4447972TN
Medicare PIN3910151TN

Other Providers at the Same Location NPPES 3

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

Registered Nurse (Community Health)
300 PAGEANT LN
CLARKSVILLE, TN 37040
Dietitian, Registered
300 PAGEANT LN
CLARKSVILLE, TN 37040
Registered Nurse
300 PAGEANT LN
CLARKSVILLE, TN 37040

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 State Of Tennessee's NPI number?

The NPI number for State Of Tennessee is 1659687978. It was assigned to this organization in the NPPES registry on August 24, 2010. The provider is doing business as Montgomery County Wic Clinic.

Where is State Of Tennessee located?

State Of Tennessee is located at 300 Pageant Ln, Clarksville, TN 37040. The listed phone number is (931) 551-8777.

What is State Of Tennessee's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for State Of Tennessee was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.