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Contact Information

RUTHERFORD COUNTY PRIMARY CARE
1453 HOPE WAY
MURFREESBORO, TN37129-3140
 Phone: 615-893-9390
 Fax: 615-893-4162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RUTHERFORD COUNTY PRIMARY CARE

NPI Number 1114973237
LBN Legal business name RUTHERFORD COUNTY PRIMARY CARE
Authorized official SHANE SMITH - (FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 01/04/2023 - About 3 years ago
Identifiers
TN Medicaid 3370199
TN Medicaid 4448201
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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