Prohealth Rural Health Services, Inc

LBN: Prohealth Rural Health Services, Inc
Prohealth Rural Health Services, Inc is an health care organization with primary practice located at 1325 W Main St , Franklin TN 37064-3786. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Prohealth Rural Health Services, Inc can be contacted via phone (615) 866-6163, or through White, Ray via phone (615) 866-6163.

Contact Information

Primary practice address
1325 W Main St Franklin TN 37064-3786
Phone: (615) 866-6163
Fax: (615) 794-0018
Website:
Map and Directions
Authorized official contact:
Name: White, Ray PHD
Phone: (615) 866-6163

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1104827534
LBN Legal business name Prohealth Rural Health Services, Inc
DBA Doing business as
Authorized official White, Ray PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 30th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104827534 NPPES
Tennessee MEDICAID 044-1891
Tennessee MEDICAID 1505570

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