1104864370 NPI number — RURAL HEALTH CLINICS OF WEST TN PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104864370 NPI number — RURAL HEALTH CLINICS OF WEST TN PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RURAL HEALTH CLINICS OF WEST TN PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104864370
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/07/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1209
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DYERSBURG
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38025-1209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
731-286-0149
Provider Business Mailing Address Fax Number:
731-286-6956

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
326 ASBURY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIPLEY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38063-5577
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-635-2755
Provider Business Practice Location Address Fax Number:
731-635-8859
Provider Enumeration Date:
06/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
OWEN
Authorized Official First Name:
PAT
Authorized Official Middle Name:
F
Authorized Official Title or Position:
OFFICE ADMINISTRATOR
Authorized Official Telephone Number:
731-286-0149

Provider Taxonomy Codes

  • Taxonomy code: 173000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3730286 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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