Organization Active NPI

McMinnville Recovery Center

  • Addiction Medicine (Family Medicine) Physician
  • McMinnville, TN
National Provider Identifier
1194116285
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
MCMINNVILLE RECOVERY CENTER
Practice address
201 W Main St
Suite 2
McMinnville, TN 37110-2581
Phone
(931) 259-4466
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Mr. Christopher Branch
Title
Managing Officer
Phone
(931) 259-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X TN Primary

Addresses

Primary practice location

201 W Main St
Suite 2
McMinnville, TN 37110-2581

Mailing address

201 W Main St
Suite 2
McMinnville, TN 37110-2581
Phone (931) 259-4466

Other names 1

  • A.M.C. of McMinnville Doing business as

National Provider Directory

National Provider Directory

Locations

201 W Main St
Ste 2
McMinnville, TN 37110
Phone (931) 259-4466

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1194116285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102581",
            "telephone_number": "931-259-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102581",
            "telephone_number": "931-259-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMINNVILLE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "931-259-4466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.M.C. of McMinnville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.