Hatchie Clinic P C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HATCHIE CLINIC P C

Practice address

640 Nuckolls Rd
Bolivar, TN 38008-1532

Phone

(731) 659-2273

Fax

(731) 659-2777

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Latosha S Messenger

Title

Administrator

Phone

(731) 659-2273

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammi L Ferguson, FNP

  • Family Nurse Practitioner
  • Bolivar, TN
  • NPI 1023066057
  NPD (past)
• Sylvestor D. Nicol, M.D.

  • Internal Medicine Physician
  • Bolivar, TN
  • NPI 1144221201
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1659402006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 NUCKOLLS RD",
            "address_2": "PO BOX 331",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081532",
            "telephone_number": "731-659-2273",
            "fax_number": "731-659-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 NUCKOLLS RD",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081532",
            "telephone_number": "731-659-2273",
            "fax_number": "731-659-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATCHIE CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "MESSENGER",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-659-2273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hardeman County Community Health Center
• Hardeman County Community Health Center
• Hardeman County Schools
• Hardeman County Vision Center Inc
• Cameron Tyler Hargrove, PHARMD
• Angela Dawn Haynes, RN
• Hcchc Pharmacy
• Ollie Herron, FNP-C, PMHNP-BC
• Sandi Hines
• Tamisha Slayton Hodum, APRN, FNP-C

• All providers in Bolivar, TN
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.