Rural Health Clinics of West TN, PLLC
Organization Active NPI Legal Medicine · Halls, TN
NPI 1992992416 · NPPES record last updated Mar 12, 2008
Key facts
- NPI
- 1992992416
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Legal Medicine 173000000X
- Legal business name
- RURAL HEALTH CLINICS OF WEST TN, PLLC
- Practice address
- 104 E Main St
Halls, TN 38040-1523 - Phone
- (731) 836-7700
- Fax
- (731) 836-7777
- NPI assigned
- Sep 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Pat F Owen
- Title
- Practice Manager
- Phone
- (731) 286-0149
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine |
173000000X | Yes |
Addresses
Primary practice location
104 E Main St
Halls, TN 38040-1523
Mailing address
PO Box 1209
Dyersburg, TN 38025-1209
Phone (731) 286-0149
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3730286 | Medicaid | TN | |
| 3730284 | Medicaid | TN |
Other providers in Halls, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.