OrganizationActive
Citizens of Lake County for Health Care Inc
NPI 1851697817 · Federally Qualified Health Center (FQHC) · Ridgely, TN
Provider details
- NPI number
- 1851697817
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gayanne Williams, Executive Director(731) 253-6690
- License
- 6899 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
130 N Main St
Ridgely, TN 38080-1317
Phone: (731) 264-5518
Fax: (731) 264-6859
Approximate (ZIP-level) locationGet directions
Mailing address
130 North Main Street
Ridgely, TN 38080-1317
Other names (DBA / former)
- Doing business as
- William B, Acree Clinic
Registry dates
- Enumerated
- 2011-02-08
- Last updated
- 2011-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.