The Grove Primary Care Clinic LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

THE GROVE PRIMARY CARE CLINIC LLC

Practice address

9458 Highway 100
Scotts Hill, TN 38374

Phone

(731) 549-3010

Fax

(731) 549-3013

NPI assigned

Jun 4, 2015

Organization subpart

No

Name

Mr. Willam J Wysor

Title

President

Phone

(731) 983-0499

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2015.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1285014241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9458 HIGHWAY 100",
            "city": "SCOTTS HILL",
            "state": "TN",
            "postal_code": "38374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9458 HIGHWAY 100",
            "city": "SCOTTS HILL",
            "state": "TN",
            "postal_code": "38374",
            "telephone_number": "731-549-3010",
            "fax_number": "731-549-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROVE PRIMARY CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "WYSOR",
        "authorized_official_first_name": "WILLAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-983-0499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Scotts Hill, TN
• Rural Health Clinic/Center in Tennessee

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