NPIMap

Organization Active NPI

Prohealth Rural Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Columbia, TN
National Provider Identifier
1124270657
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PROHEALTH RURAL HEALTH SERVICES, INC
Practice address
180 Bear Creek Pike
Columbia, TN 38401-1813
Phone
(931) 381-7567
Fax
(931) 374-9958
NPI assigned
Oct 15, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ray White, PHD
Title
President
Phone
(615) 866-6163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

180 Bear Creek Pike
Columbia, TN 38401-1813

Mailing address

PO Box 682589
Franklin, TN 37068-2589
Phone (615) 591-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124270657. Details of each certification follow.

  • CCN 441893 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 441893

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PRO HEALTH COLUMBIA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 18, 2004
Last certification
Nov 18, 2004
Ownership / control type
For profit – partnership
Facility address
180 Bear Creek Pike
Columbia, TN 38401

National Provider Directory

National Provider Directory
Tax ID family
Prohealth Rural Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1325 W Main St
Ste A
Franklin, TN 37064
Phone (615) 591-4750

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1124270657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682589",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370682589",
            "telephone_number": "615-591-4750",
            "fax_number": "615-591-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BEAR CREEK PIKE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384011813",
            "telephone_number": "931-381-7567",
            "fax_number": "931-374-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH RURAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-866-6163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.