Active NPI
McMinnville Recovery Center
- Addiction Medicine (Family Medicine) Physician
- McMinnville, TN
National Provider Identifier
1194116285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.