NPIMap

Organization Active NPI

Rural Health Clinic of West TN PLLC

  • Rural Health Clinic/Center
  • Dyersburg, TN
National Provider Identifier
1437589876
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
RURAL HEALTH CLINIC OF WEST TN PLLC
Practice address
1716 Parr Ave
Suite a
Dyersburg, TN 38024-2073
Phone
(731) 285-3300
Fax
(731) 285-3370
NPI assigned
Nov 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
G S Bindra, M.D.
Title
Medical Director
Phone
(731) 286-0149

Specialties & licenses 1

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

Addresses

Primary practice location

1716 Parr Ave
Suite a
Dyersburg, TN 38024-2073

Mailing address

PO Box 1209
Dyersburg, TN 38025-1209
Phone (731) 285-3300

Other identifiers 1

IdentifierTypeStateIssuer
1104864370MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Rural Health Clinics of West TN PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1437589876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380251209",
            "telephone_number": "731-285-3300",
            "fax_number": "731-285-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE",
            "address_2": "SUITE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242073",
            "telephone_number": "731-285-3300",
            "fax_number": "731-285-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH CLINIC OF WEST TN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "BINDRA",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "731-286-0149",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104864370",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.