Active NPI
Putnam County Rural Health Clinic, Inc
Doing business as Baxter Medical Clinic
- Rural Health Clinic/Center
- Baxter, TN
National Provider Identifier
1316936560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2020
- 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
- Ms. Jane Kissane
- Title
- Executive Director
- Phone
- (931) 858-2116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Knoxville, TN
- NPI 1528053022
-
- Acute Care Nurse Practitioner
- Cookeville, TN
- NPI 1396830998
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
- Mike & Wendy LLC (Family's Choice)
- Jimmy Neal
- Sarah Neller, AGPCNP-BC
- Heather Parker, BEHAVIOR TECHNICIAN
- Megan Danielle Phy, COTA/L
- S & K Apothecary Inc. (Nunally Drug Store)
- Jacqueline Lee Swallows, FNP-BC, NP-C
- Hugh Arthur Thompson, DDS
- Upper Cumberland Medical Clinic, Inc.
- Upper Cumberland Rural Health Clinic PLLC (Baxter Medical Clinic RHC)
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.