Although the Nashville Area is the largest of the twelve IHS regions geographically, it does not service the largest populate of Indian people. Many of the beneficiaries utilize the services of tribally run clinics. The Nashville Area serves members of tribes scattered across states mostly east of the Mississippi River. The Area covers the greatest number of square miles in the IHS in the "Lower-48", extending from Maine to Texas. Most professionals in the area's facilities are employed by the tribes, but may also belong to one of the government's personnel systems, the civil service or the Commissioned Corps.
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In addition to the IHS federal health healthcare facilities there are also Tribal and/or Urban facilities