NPIMap

Organization Active NPI

Interra Health Inc.

  • Primary Care Clinic/Center
  • Morrison, TN
National Provider Identifier
1407307374
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INTERRA HEALTH INC.
Practice address
120 Brost Dr
Morrison, TN 37357-1500
Phone
(931) 635-4600
Fax
(931) 635-4602
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Michelle D Ruth
Title
Implementation & Training Coodinato
Phone
(414) 375-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X WI Primary

Addresses

Primary practice location

120 Brost Dr
Morrison, TN 37357-1500

Mailing address

8919 W Heather Ave
Milwaukee, WI 53224-2417
Phone (414) 375-1600

Other names 1

  • MPC InHealth Clinic TN Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.ruth@healics.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Interra Health Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 Brost Dr
Morrison, TN 37357
Phone (931) 635-4600

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1407307374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 W HEATHER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242417",
            "telephone_number": "414-375-1600",
            "fax_number": "414-375-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BROST DR",
            "city": "MORRISON",
            "state": "TN",
            "postal_code": "373571500",
            "telephone_number": "931-635-4600",
            "fax_number": "931-635-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERRA HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "IMPLEMENTATION & TRAINING COODINATO",
        "authorized_official_telephone_number": "414-375-1600"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.ruth@healics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 Brost Dr",
            "city": "Morrison",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373571500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MPC InHealth Clinic TN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.