OrganizationActive
Citizens of Lake County for Health Care Inc
NPI 1619593944 · Federally Qualified Health Center (FQHC) · Troy, TN
Provider details
- NPI number
- 1619593944
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amber Isbell, Cfo(731) 253-6690
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
321 E Harper St
Troy, TN 38260
Phone: (731) 442-0956
Fax: (731) 253-6692
Street-level locationGet directions
Mailing address
710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Other names (DBA / former)
- Other name
- Obion County Medical Clinic
Registry dates
- Enumerated
- 2020-06-23
- Last updated
- 2020-06-23
- Certified
- 2020-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.