THE GROVE PRIMARY CARE CLINIC LLC; NPI #1639345952

Contact Information

THE GROVE PRIMARY CARE CLINIC LLC

541 W PARK PL
SUITE C
HENDERSON, TN 38340-2027

Phone: 731-983-0499
Fax: 731-983-0573
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 THE GROVE PRIMARY CARE CLINIC LLC

NPI Number	`1639345952`
LBN Legal business name	THE GROVE PRIMARY CARE CLINIC LLC
Authorized official	JODY WYSOR - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/06/2008
Last updated	09/10/2019 - About 7 years ago
Identifiers	n/a

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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