Organization Active NPI

Putnam County Rural Health Clinic, Inc

Doing business as Baxter Medical Clinic

  • Rural Health Clinic/Center
  • Baxter, TN
National Provider Identifier
1316936560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PUTNAM COUNTY RURAL HEALTH CLINIC, INC
Doing business as
Baxter Medical Clinic
Practice address
319 Broad St
Baxter, TN 38544-5117
Phone
(931) 858-2116
Fax
(931) 858-2117
NPI assigned
Oct 20, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jane Kissane
Title
Executive Director
Phone
(931) 858-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X TN Primary

Addresses

Primary practice location

319 Broad St
Baxter, TN 38544-5117

Mailing address

PO Box 175
Baxter, TN 38544-0175
Phone (931) 858-2116

Other names 1

  • Baxter Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

172 W Main St
Cookeville, TN 38506
Phone (931) 537-3601

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316936560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385440175",
            "telephone_number": "931-858-2116",
            "fax_number": "931-858-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BROAD ST",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385445117",
            "telephone_number": "931-858-2116",
            "fax_number": "931-858-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY RURAL HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KISSANE",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-858-2116",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxter, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.