Rural Health Clinics Of West Tn, Pllc

LBN: Rural Health Clinics Of West Tn, Pllc
Rural Health Clinics Of West Tn, Pllc is an health care organization with primary practice located at 1716 Parr Ave Ste A, Dyersburg TN 38024-2073. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Rural Health Clinics Of West Tn, Pllc can be contacted via phone (731) 285-3300, or through Owen, Pat F via phone (731) 286-0149.

Contact Information

Primary practice address
1716 Parr Ave Ste A Dyersburg TN 38024-2073
Fax: (731) 285-3370
Website:
Authorized official contact:
Name: Owen, Pat F

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X

Profile Details

NPI number 1619202322
LBN Legal business name Rural Health Clinics Of West Tn, Pllc
DBA Doing business as
Authorized official Owen, Pat F
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2009
Last updated Apr 7th, 2014 - about 11 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 1619202322 NPPES
Tennessee MEDICAID 3730286

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