OrganizationActive
State of Tennessee
NPI 1659687978 · Public Health or Welfare Agency · Clarksville, TN
Provider details
- NPI number
- 1659687978
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Annette Haley, Regional Director(615) 650-7000
Specialties & taxonomies
Agencies
Practice location
300 Pageant Ln
Clarksville, TN 37040-3854
Phone: (931) 551-8777
Fax: (931) 503-0694
Approximate (ZIP-level) locationGet directions
Mailing address
300 Pageant Ln
Clarksville, TN 37040-3854
Other names (DBA / former)
- Doing business as
- Montgomery County Wic Clinic
Registry dates
- Enumerated
- 2010-08-24
- Last updated
- 2012-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.