FENTRESS COUNTY HEALTH DEPARTMENT
NPI 1740331792
Clinic/Center - Federally Qualified Health Center (FQHC) in Jamestown, TN

Q: What is State Of Tennessee's NPI number?

The NPI number for State Of Tennessee is 1740331792. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Fentress County Health Department.

Q: What is State Of Tennessee's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since January 16, 2007

240 COLONIAL CIRCLE, SUITE A, JAMESTOWN, TN 38556(931) 879-9936(931) 879-9938 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2025, Jun 14, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2018).

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About Fentress County Health Department NPPES

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

FENTRESS COUNTY HEALTH DEPARTMENT (NPI 1740331792) is a healthcare organization registered as a federally qualified health center (fqhc) in Jamestown, Tennessee and active in the NPI registry since January 2007. The organization lists Tammy Stewart, Cfo, as its authorized official.

NPPES Registry Identity

NPI1740331792

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSTATE OF TENNESSEE

Location Address240 COLONIAL CIRCLE, SUITE AJamestown, TN 38556-3924

Mailing Address1100 England DrCookeville, TN 38501-0924 · (931) 520-4203 · Fax (931) 520-3871

Phone(931) 879-9936

Fax(931) 879-9938

Organization SubpartNo

Authorized OfficialTammy StewartCfo · (931) 520-4203

Enumeration DateJanuary 16, 2007

Last NPPES UpdateJanuary 7, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2025

✔ NPI 1740331792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code261QF0400X

Also ListedPublic Health or WelfareTaxonomy 251K00000X · License ========= (TN)

240 COLONIAL CIRCLE, Jamestown, TN 38556

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Other Names 1

Doing Business AsFentress County Health Department

Other Identifiers 1

Medicaid444-7864TN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fentress County Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTennesseeEnrollment IDO20140304002142Part A · Federally Qualified Health Center (FQHC)Due dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 1740331792. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Fentress County Health Department.

Where is State Of Tennessee located?

State Of Tennessee is located at 240 Colonial Circle Suite A, Jamestown, TN 38556. The listed phone number is (931) 879-9936.

What is State Of Tennessee's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is State Of Tennessee enrolled in Medicare?

Yes. State Of Tennessee is registered in the Medicare PECOS enrollment system.

When is State Of Tennessee's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Tennessee, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does State Of Tennessee accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list State Of Tennessee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Of Tennessee was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.