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PUBLIC HEALTH ADVISORY CONCERNING FENTANYL AND FENTANYL-LACED SUBSTANCES

Local and Regional Health Departments

Each county in Tennessee has a county health department, with some larger counties having multiple facilities. A total of 89 primarily rural county health departments operate under the direct supervision of the Tennessee Department of Health, headquartered in Nashville, while the six larger, urban counties – Madison, Shelby, Knox, Davidson, Hamilton and Sullivan – have health departments that operate under local governance but work closely with the Tennessee Department of Health.

Directors of the 89 primarily rural health departments are appointed by the Commissioner of the Tennessee Department of Health. Directors of the six larger, urban county health departments are appointed by their county leadership.  In some instances, a health board appointed by the mayor will provide recommendations regarding these appointments.  Here are links to the larger, urban county health departments in Tennessee:

Services provided by rural and urban health departments vary, reflecting population health needs and the capacity of funding available from year to year.

Regional Offices

East Regional Office:

2101 Medical Center Way
Knoxville, TN 37920

etro.epi@tn.gov
(865) 546-9221
(865) 594-6008 Fax

Mid-Cumberland Regional Office:

710 Hart Lane
Nashville, TN 37247

mcro.epi@tn.gov
(615) 650-7000
(615) 262-6139 Fax

Northeast Regional Office:

185 Treasure Lane
Johnson City, TN 37604-6519

nero.epi@tn.gov
(423) 979-3200
(423) 979-3297 Fax

South Central Regional Office:

1216 Trotwood Ave.
Columbia, TN 38401-6406

scro.epi@tn.gov
(931) 380-2532
(931) 380-3364 Fax

Southeast Regional Office:

1301 Riverfront Parkway, Suite 209
Chattanooga, TN 37402

sero.epi@tn.gov
(423) 634-3124
(423) 634-1003 Fax

Upper Cumberland Regional Office:

1100 England Drive
Cookeville, TN 38501-0924

ucro.epi@tn.gov
(931) 528-7531
(931) 520-0413 Fax

Jackson Regional Office:

295 Summar St.
Jackson, TN 38301

wtro.epi@tn.gov
(731) 423-6600
(731) 935-7093 Fax

Union City Regional Office:

PO Box 190
1010 Mt. Zion Road
Union City, TN 38261

wtro.epi@tn.gov
(731) 884-2645
(731) 884-2650 Fax

County Offices

Anderson County

County Seat: Clinton
710 North Main Street, SUITE A
Clinton, TN 37716

(865) 425-8800
(865) 457-4252 Fax

Anderson County Health Department's Website

Bedford County

County Seat: Shelbyville
140 Dover Street
Shelbyville, TN 37160-6811

(931) 684-3426
(931) 684-5860 Fax
 

Benton County

225 Hospital Drive
Camden, TN 38320

(731) 584-4944
(731) 584-4539
(731) 584-8831 Fax  

Bledsoe County

County Seat: Pikeville

1185 Alvin York Highway 
Pikeville, TN 37367 

(423) 447-2149
(423) 447-6777 Fax

Blount County

County Seat: Maryville

301 McGhee Street
Maryville, TN 37801-6811 

(865) 983-4582 
(865) 983-4574 Fax


Blount County Health Department's Website

Bradley County

County Seat: Cleveland

201 Dooley Street, S.E.
Cleveland, TN 37311-6220 

(423) 728-7020
(423) 479-6130 Fax
 

Campbell County

County Seat: Jacksboro

162 Sharp-Perkins Road
Jacksboro, TN 37757-0418

(423) 562-8351 
(423) 562-1593 Fax

Cannon County

County Seat: Woodbury

106 Alexander Drive
Woodbury TN 37190


(615) 563-4243 
(615) 563-6212 Fax

Carroll County

County Seat: Huntington

633 High Street
Huntingdon, TN 38344

(731) 986-1990 
(731) 986-1993 
(731) 986-1995 Fax

Carter County

County Seat: Elizabethton

403 East "G" Street
Elizabethton, TN 37643 

(423) 543-2521
(423) 543-7348 Fax

Cheatham County

County Seat: Ashland City

162 John Mayfield Dr., Suite 200
Ashland City, TN 37015-1787 

(615) 792-4318 
(615) 792-6794 Fax
Cheatham County Website

Chester County

County Seat: Henderson

301 Quinco Drive 
Henderson, TN 38340 

(731) 989-7108 
(731) 989-9686 Fax

Claiborne County

County Seat: Tazewell

P. O. Box 183
620 Davis Drive
Tazewell, TN 37879-0183  

(423) 626-4291 
(423) 626-2525 Fax

Clay County

County Seat: Celina

115 Guffey Street
Celina, TN 38551-4089  

(931) 243-2651 
(931) 243-3132 Fax

Cocke County

County Seat: Newport

430 College Street 
Newport, TN 37821-3752

(423) 623-8733 
(423) 623-0874 Fax

Coffee County

County Seat: Manchester

800 Park Street 
Manchester, TN 37355-2482

(931) 723-5134 
(931) 723-5148 Fax 


Tullahoma Health Center
615 Wilson Ave
Tullahoma, TN 37388-3264

(931) 455-9369 
(931) 455-4827 Fax

Crockett County

County Seat: Alamo

209 North Bells Street
Alamo, TN 38001-1755

(731) 696-2505
(731) 696-4370 Fax

Cumberland County

County Seat: Crossville

1503 South Main Street
Crossville, TN 38555-8452 

(931) 484-6196 
(931) 456-1047 Fax

Davidson County

County Seat: Nashville

2500 Charlotte Avenue
Nashville, TN 37209  

NDR.Notifiable@nashville.gov
(615)340-5616 
(615)340-5665 Fax 


Davidson County Health Department's Website

Decatur County

County Seat: Decaturville

P.O. Box 178 
155 North Pleasant St. 
Decaturville, TN 38329-4084

(731) 852-2461 
(731) 852-3794 Fax


Decatur County Health Department's Website

DeKalb County

County Seat: Smithville

254 Tiger Drive
Smithville, TN 37166

(615) 597-7599 
(615) 597-1349 Fax
 

Dickson County

County Seat: Charlotte

301 West End Avenue 
Dickson, TN 37055-1725  

(615) 446-2839 
(615) 441-1900 Fax 


White Bluff Clinic
200 School Road
White Bluff, TN 37187

(615) 797-5056
(931) 455-4827 Fax

Dyer County

County Seat: Dyersburg

1755 Parr Ave.
Dyersburg, TN 38024-2004

(731) 285-7311 
(731) 285-2610 Fax

Fayette County

County Seat: Somerville

P. O. Box 188
90 Yum Yum Road
Somerville, TN 38068-4541

(901) 465-5243 
(901) 465-5245 Fax

Fentress County

County Seat: Jamestown

240 Colonial Circle, Suite A
Jamestown, TN 38556-3924

(931) 879-9936 
(931) 879-9938 Fax

Franklin County

County Seat: Winchester

338 Joyce Lane 
Winchester, TN 3739-3326

(931) 967-3826
(931) 962-1168 Fax

Gibson County

County Seat: Trenton

Trenton Clinic 
1250 Manufacturer's Row 
Trenton, TN 38382-3632

(731) 855-7601
(731) 855-7603 Fax

Milan Clinic
6501 Telecom Drive
Milan, TN 38358

(731) 686-9240
(731) 686-0962 Fax

Humboldt Clinic
149 N. 12th AVE 
Humboldt, TN 38343

(731) 784-5491 
(731) 784-1726 Fax

Giles County

County Seat: Pulaski

209 Cedar Lane 
Pulaski, TN 38478

(931) 363-5506 
(931) 424-7020 Fax

Grainger County

County Seat: Rutledge

185 Justice Center Drive
Rutledge, TN 37861

(865) 828-5247
(865) 828-3594 Fax

Greene County

County Seat: Greeneville

810 West Church Street
Greeneville, TN 37744

(423) 798-1749 
(423) 798-1755 Fax

Grundy County

County Seat: Altamont

1372 Main Street
Altamont, TN 37301

(931) 692-3641 
(931) 692-2201 Fax

Hamblen County

County Seat: Morristown

331 W. Main 
Morristown, TN 37814-4632

(423) 586-6431
(423) 586-6324 Fax

Hamilton County

County Seat: Chattanooga

921 East Third Street 
Chattanooga, TN 37403

healthepi@hamiltonTN.gov
(423) 209-8000 main # 
(423) 209-8010 after 4pm est. 
(423) 209-8001 Fax 

Hamilton County Health Department's Website

Hancock County

County Seat: Sneedville

178 Willow Street
Sneedville, TN 37869-3600

(423) 733-2228 
(423) 733-2428 Fax  

Hardeman County

County Seat: Bolivar

10825 Old Hwy 64
Bolivar, TN 38008-3599

(731) 658-5291 
(731) 658-6536 Fax

Hardin County

County Seat: Savannah

1920 Pickwick Street
Savannah, TN 38372

(731) 925-2557
(731) 925-3100 Fax

Hawkins County

County Seat: Rogersville

201 Park Blvd. 
Rogersville, TN 37857-2919

(423) 272-7641 
(423) 921-8073 Fax
Hawkins County Health Department's Website

Church Hill Office
P. O. Box 209
247 Silverlake Road
Church Hill, TN 37642

(423) 357-5341
(423) 357-2231 Fax
Hawkins County Church Hill Health Department's Website

Haywood County

County Seat: Brownsville

950 East Main St. 
Brownsville, TN 38012-2647

(731) 772-0463 
(731) 772-3377 Fax

Henderson County

County Seat: Lexington

90 Rush Street 
Lexington, TN 38351

(731) 968-8148 
(731) 968-4777 Fax

Henry County

County Seat: Paris

803 Joy Street 
Paris, TN 38242-4529

(731) 642-4025 
(731) 644-0711 Fax

Hickman County

County Seat: Centerville

111 Murphree Ave.
Centerville, TN 37033-1418

(931) 729-3516
(931) 729-5029 Fax

Hickman County Health Department's Website

Houston County

County Seat: Erin

60 Court Square 
Erin, TN 37061

(931) 289-3463
(931) 289-3499 Fax

Humphreys County

County Seat: Waverly

725 Holly Lane 
Waverly, TN 37185-3284

(931) 296-2231 
(931) 296-4590 Fax

Jackson County

County Seat: Gainesboro

600 North Murray Street
Gainesboro, TN 38562-0312

(931) 268-0218 
(931) 268-0872 Fax

Jefferson County

County Seat: Dandridge

P. O. Box 130
931 Industrial Park Road, Suite 200 
Dandridge, TN 37725-0130

(865) 397-3930 
(865) 397-1246 Fax

Johnson County

County Seat: Mountain City

715 West Main Street 
Mountain City, TN 37683-0027

(423) 727-9731 
(423) 727-4153 Fax

Knox County

County Seat: Knoxville

140 Dameron Avenue  
Knoxville, TN 37917-6413

Connie.Cronley@KnoxCounty.org
(865) 215-5300 
(865) 215-5295 Fax

Knox County Health Department's Website

Lake County

County Seat: Tiptonville

400 Highway 78 South 
Tiptonville, TN 38079

(731) 253-9954 
(731) 253-9955 
(731) 253-9956 Fax

Lauderdale County

County Seat: Ripley

500 Highway 51, South  
Ripley, TN 38063

(731) 635-9711 
(731) 635-4661
(731) 635-3630 Fax

Lawrence County

County Seat: Lawrenceburg

2379 Buffalo Road 
Lawrenceburg, TN 38464-4810

(931) 762-9406 
(931) 766-1592 Fax

Lewis County

County Seat: Hohenwald

51 Smith Avenue 
Hohenwald, TN 38462-1124

(931) 796-2204 
(931) 796-1625 Fax

Lincoln County

County Seat: Fayetteville

1000 Washington Street, West, Suite A 
Fayetteville, TN 37334-2872

(931) 433-3231 
(931) 438-1567 Fax

Loudon County

County Seat: Loudon

P. O. Box 278
600 Rayder Avenue 
Loudon , TN 37774-0278

(865) 458-2514 
(865) 458-8587 Fax

Macon County

County Seat: Lafayette

601 Hwy. 52 By-Pass East
Lafayette , TN 37083-1009

(615) 666-2142 
(615) 666-6153 Fax


Macon County Health Department's Website

Madison County

County Seat: Jackson

804 North Parkway
Jackson , TN 38305-3058

Epi@JMCHD.com
(731) 423-3020 
(731) 927-8600 Fax


WIC Central
589 E. College St. 
Jackson, TN 38301

(731) 423-3020
(731) 927-8602 Fax

Marion County

County Seat: Jasper

24 East 7th St.
Jasper, TN 37347

(423) 942-2238 
(423) 942-9186 Fax

Marshall County

County Seat: Lewisburg

206 Legion Street 
Lewisburg, TN 37091-2898

(931) 359-1551 
(931) 359-0542 Fax

Maury County

County Seat: Columbia

1909 Hampshire Pike 
Columbia, TN 38401-4898

(931) 388-5757 
(931) 560-1119 Fax

McMinn County

County Seat: Athens

P.O. Box 665 
393 County Road 554
Athens, TN 37303-6420

(423) 745-7431 
(423) 744-1604 Fax

McNairy County

County Seat: Selmer

725 East Poplar
Selmer, TN 38375

(731) 645-3474 
(731) 645-4530 Fax

Meigs County

County Seat: Decatur

P. O. Box 157
389 River Road 
Decatur, TN 37322-0157

(423) 334-5185 
(423) 334-1713 Fax

Monroe County

County Seat: Madisonville

P.O. Box 38
3469 New Highway 68
Madisonville, TN 37354-5148

(423) 442-3993 
(423) 442-5934 
(423) 442-9468 Fax

Montgomery County

County Seat: Clarksville

330 Pageant Lane
Clarksville, TN 37040-3854

(931) 648-5747 
(931) 645-9019 Fax

Montgomery WIC Clinic
300 Pageant Lane 
Clarksville, TN 37040-3854

(931) 551-8777
(931) 503-0691 Fax

Montgomery County Health Department's Website

Moore County

County Seat: Lynchburg

Metro-Moore Health Facility
251 Majors Blvd. Rm.1 
Lynchburg, TN 37352-8325

(931) 759-4251 
(931) 759-6380 Fax

Morgan County

County Seat: Wartburg

P.O. Box 343
1103 Knoxville Highway
Wartburg, TN 37887-0343

(423) 346-6272 
(423) 346-2349 Fax

Obion County

County Seat: Union City

P. O. Box 248
1008 Mt. Zion Road 
Union City, TN 38261

(731) 885-8722 
(731) 885-8723 
(731) 885-8724 
(731) 885-4855 Fax

Overton County

County Seat: Livingston

5880 Bradford-Hicks Drive 
Livingston, TN 38570-2236

(931) 823-6260 
(931) 823-5821 Fax

Perry County

County Seat: Linden

31 Medical Drive
Linden, TN 37096-3326

(931) 589-2138 
(931) 589-5414 Fax

Pickett County

County Seat: Byrdstown

1013 Woodlawn Drive
Byrdstown, TN 38549-2317

(931) 864-3178 
(931) 864-3376 Fax

Polk County

County Seat: Benton

Polk Benton Center 
2279 Parksville Road
Benton, TN 37307

(423) 338-4533 
(423) 338-1959 Fax

Polk Copper Basin Center
840 Cherokee Trail
Copperhill, TN 37317

(423) 496-3275
(423) 496-4442 Fax

Putnam County

County Seat: Cookeville

701 County Service Drive
Cookeville, TN 38501-3338

(931) 528-2531 
(931) 526-7451 Fax

Rhea County

County Seat: Dayton

P. O. Box 440
344 Eagle Lane
Dayton, TN 37332

(423) 775-7819 
(423) 775-8078 Fax

Roane County

County Seat: Kingston

1362 North Gateway Avenue
Rockwood, TN 37854-4108

(865) 354-1220 
(865) 354-0112 Fax

Robertson County

County Seat: Springfield

800 South Brown St. 
Springfield, TN 37172-2920

(615) 384-0208 
(615) 384-0245 Fax

Rutherford County

County Seat: Murfreesboro

100 West Burton 
Murfreesboro, TN 37130-3657

(615) 898-7785
(615) 898-7829 Fax

North Rutherford
108 David Collins Drive 
Smyrna, TN 37167
(615) 355-6175
(615) 459-7996 Fax

Rutherford County Health Department's Website

Scott County

County Seat: Huntsville

Courthouse Square
P. O. Box 88
344 Court Street
Huntsville, TN 37756-0088

(423) 663-2445
(423) 663-9252  Fax

Sequatchie County

County Seat: Dunlap

16939 Rankin Ave. North
Dunlap, TN 37327 

(423) 949-3619
(423) 949-6507 Fax

Sevier County

County Seat: Sevierville

P.O. Box 4648
719 Middle Creek Road
Sevierville, TN 37862-4648

(865) 453-1032 
(865) 429-2689 Fax

Shelby County

County Seat: Memphis

814 Jefferson Avenue 
Memphis, TN 38105-5099

Epi.surveillance@ShelbyCountyTN.gov
(901) 222-9000 Telephone 
(901) 222-9060 Fax

Shelby County Health Department's Website

Smith County

County Seat: Carthage

251 Joy Alford Way 
Carthage, TN 37030-3047

(615) 735-0242
(615) 735-8250 Fax

Stewart County

County Seat: Dover

Stewart County Community Medical Center
P. O. Box 497
1021 Spring Street
Dover, TN 37058-0497

(931) 232-5329 
(931) 232-7247 Fax

Sullivan County

County Seat: Blountville

P. O. Box 630
154 Blountville Bypass 
Blountville, TN 37617

hmullins@sullivanhealth.org
(423) 279-2777
(423) 279-2797 Fax

Sumner County

County Seat: Gallatin

1005 Union School Road 
Gallatin, TN 37066

(615) 206-1100
(615) 206-9742 Fax

Hendersonville Clinic
351 New Shackle Island Rd. 
Hendersonville, TN 37075-2322

(615) 824-0552
(615) 824-9771 Fax

Portland Clinic
214 West Longview Drive
Portland, Tennessee 37148

(615) 325-5237
(615) 325-5549 Fax

Tipton County

County Seat: Covington

P. O. Box 685
4700 Mueller Brass Road 
Covington, TN 38019

(901) 476-0235 
(901) 476-0229 Fax

Trousdale County

County Seat: Hartsville

541 East Main Street
Hartsville, TN 37074-1502

(615) 374-2112 
(615) 374-1119 Fax

Unicoi County

County Seat: Erwin

101 Okolona Drive 
Erwin, TN 37650-2167

(423) 743-9103 
(423) 743-9105 Fax
 

Union County

County Seat: Maynardville

P.O. Box 460
4335 Maynardville Highway 
Maynardville, TN 37650-1387

(865) 992-3867 
(865) 992-7238 Fax

Van Buren County

County Seat: Spencer

907 Old McMinville Street
Spencer, TN 38585

(931) 946-2643
(931) 946-2438
(931) 946-7106 Fax
 

Warren County

County Seat: McMinnville

1401 Sparta Street 
McMinnville, TN 37110-1310

(931) 473-8468 
(931) 473-0595 Fax

Washington County

County Seat: Jonesborough

Washington County / Johnson City Health Center
219 Princeton Road
Johnson City, TN 37601

(423) 975-2200 
(423) 975-2210 Fax

Wayne County

County Seat: Waynesboro
 

725 South Main Street
Waynesboro, TN  38485


(931) 722-3292 
(931) 722-7249 Fax

Weakley County

County Seat: Dresden

9852 Highway 22  
Dresden, TN 38225  

(731) 364-2210 
(731) 364-2258 
(731) 364-5846 Fax

White County

County Seat: Sparta

135 Walker Street 
Sparta, TN 38583-1725   

(931) 836-2201 
(931) 836-3580 Fax

Williamson County

County Seat: Franklin

1324 West Main St.  
Franklin, TN 37064-3789    

(615) 794-1542 
(615) 790-5967 Fax

Fairview Clinic
P.O. Box 1207
2629 Fairview Blvd.
Fairview, TN 37062

(615) 799-2389
(615) 799-2260 Fax

Wilson County

County Seat: Lebanon

927 East Baddour Parkway
Lebanon, TN 37087-3706 

(615) 444-5325 
(615) 444-2750 Fax