Organization Active NPI

Rural Health Clinics of West TN PLLC

  • Legal Medicine
  • Ripley, TN
National Provider Identifier
1104864370
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
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

Updated by the provider on Apr 7, 2014

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)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3730286MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.