Red River Medical Group

LBN: Red River Medical Group Corporation
Red River Medical Group is an health care organization with primary practice located at 1960 Madison St # 326 , Clarksville TN 37043-8063. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Red River Medical Group Corporation can be contacted via phone (931) 368-9736, or through Wilson, Jackie Yvette via phone (931) 368-9736.

Contact Information

Primary practice address
1960 Madison St # 326 Clarksville TN 37043-8063
Phone: (931) 368-9736
Fax: (931) 346-0097
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Jackie Yvette
Phone: (931) 368-9736

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1629857248
LBN Legal business name Red River Medical Group Corporation
DBA Doing business as Red River Medical Group
Authorized official Wilson, Jackie Yvette
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2023
Last updated Oct 4th, 2023 - about last year

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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