Active NPI
Rural Health Clinics of West TN PLLC
- Legal Medicine
- Ripley, TN
National Provider Identifier
1104864370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- Legal business name
- RURAL HEALTH CLINICS OF WEST TN PLLC
- Practice address
- 326 Asbury Ave
Ripley, TN 38063-5577 - Phone
- (731) 635-2755
- Fax
- (731) 635-8859
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pat F Owen
- Title
- Office Administrator
- Phone
- (731) 286-0149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | Primary |
Addresses
Primary practice location
326 Asbury Ave
Ripley, TN 38063-5577
Mailing address
PO Box 1209
Dyersburg, TN 38025-1209
Phone (731) 286-0149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3730286 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
115 W Tigrett St
Halls, TN 38040
Phone (731) 836-7700
102 E Main St
Halls, TN 38040
Phone (731) 836-7700
1402 Church St
Tiptonville, TN 38079
Phone (731) 253-3500
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Dyer, TN
- NPI 1598702235
-
- Family Nurse Practitioner
- Dyersburg, TN
- NPI 1891797924
-
- Family Nurse Practitioner
- Ridgely, TN
- NPI 1689667305
-
- Internal Medicine Physician
- Bartlett, TN
- NPI 1245241918
-
- Family Nurse Practitioner
- Ripley, TN
- NPI 1497999155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396828800000",
"number": "1104864370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1209",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380251209",
"telephone_number": "731-286-0149",
"fax_number": "731-286-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 ASBURY AVE",
"city": "RIPLEY",
"state": "TN",
"postal_code": "380635577",
"telephone_number": "731-635-2755",
"fax_number": "731-635-8859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RURAL HEALTH CLINICS OF WEST TN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2014-04-07",
"status": "A",
"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",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3730286",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ripley, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.