NPIMap

Organization Active NPI

Prohealth Rural Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Nashville, TN
National Provider Identifier
1700037157
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PROHEALTH RURAL HEALTH SERVICES, INC
Practice address
393 Wallace Rd
Suite 204
Nashville, TN 37211-4880
Phone
(615) 591-4750
Fax
(615) 349-9875
NPI assigned
Oct 3, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Dr. Ray White, PHD
Title
President
Phone
(615) 866-6163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

393 Wallace Rd
Suite 204
Nashville, TN 37211-4880

Mailing address

PO Box 682589
Franklin, TN 37068-2589
Phone (615) 591-4750

Other identifiers 2

IdentifierTypeStateIssuer
1505616MedicaidTN
0441892MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Prohealth Rural Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1700037157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682589",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370682589",
            "telephone_number": "615-591-4750",
            "fax_number": "615-591-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 WALLACE RD",
            "address_2": "SUITE 204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114880",
            "telephone_number": "615-591-4750",
            "fax_number": "615-349-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH RURAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-866-6163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505616",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441892",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.