National Provider Identifier Database

WEST TENNESSEE PRIMARY CARE LLC
Rural Health


Contact Information

WEST TENNESSEE PRIMARY CARE, LLC
541 W PARK PL
HENDERSON, TN38340-2027
Phone: 731-989-1007
Fax: 731-989-0704
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for WEST TENNESSEE PRIMARY CARE, LLC

NPI Number 1942779509
Legal business name
LBN
WEST TENNESSEE PRIMARY CARE, LLC
Authorized official CAMERON BURKS - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 11/13/2018
Last updated 12/29/2023 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Other: 443960 MEDICARE PTAN FOR RURAL HEALTH CLINIC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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