Active NPI
Tullahoma Women'S Health
- Medical Specialty Clinic/Center
- Tullahoma, TN
National Provider Identifier
1255867933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- TULLAHOMA WOMEN'S HEALTH
- Practice address
- 707 Kings LN
Tullahoma, TN 37388-5372 - Phone
- (931) 393-3484
- Fax
- (931) 461-1171
- NPI assigned
- May 2, 2017
- 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
- Dr. Howard Mather Bennett, MD
- Title
- Owner
- Phone
- (931) 434-4068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
707 Kings LN
Tullahoma, TN 37388-5372
Mailing address
707 Kings LN
Tullahoma, TN 37388-5372
Phone (931) 393-3484
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/16583/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1255867933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 KINGS LN",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373885372",
"telephone_number": "931-393-3484",
"fax_number": "931-461-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 KINGS LN",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373885372",
"telephone_number": "931-393-3484",
"fax_number": "931-461-1171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TULLAHOMA WOMEN'S HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-02",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "MATHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "931-434-4068",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.