Organization Active NPI

Green River Medical Clinic, LLC

  • Urgent Care Clinic/Center
  • Murfreesboro, TN
National Provider Identifier
1245754043
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GREEN RIVER MEDICAL CLINIC, LLC
Practice address
315 Robert Rose Dr Ste F
Murfreesboro, TN 37129-6361
Phone
(615) 522-2379
NPI assigned
Aug 2, 2017
Last updated
Aug 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Authorized official

Name
Ritta Roberts
Title
Owner
Phone
(615) 522-2379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

315 Robert Rose Dr Ste F
Murfreesboro, TN 37129-6361

Mailing address

PO Box 471
Rockvale, TN 37153-0471

National Provider Directory

National Provider Directory

Locations

315 Robert Rose Dr
Ste F
Murfreesboro, TN 37129
Phone (615) 522-2379

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1245754043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "ROCKVALE",
            "state": "TN",
            "postal_code": "371530471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ROBERT ROSE DR STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371296361",
            "telephone_number": "615-522-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RITTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-522-2379"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.