RURAL HEALTH CLINIC OF WEST TN PLLC; NPI #1437589876

Contact Information

RURAL HEALTH CLINIC OF WEST TN PLLC

1716 PARR AVE
SUITE A
DYERSBURG, TN 38024-2073

Phone: 731-285-3300
Fax: 731-285-3370
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for RURAL HEALTH CLINIC OF WEST TN PLLC

NPI Number 1437589876

LBN Legal business name RURAL HEALTH CLINIC OF WEST TN PLLC

Authorized official G BINDRA - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/21/2013

Last updated 05/28/2015 - About 11 years ago

Identifiers

Medicaid

1104864370

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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