THE RUTHERFORD MEDICAL CLINIC LLC; NPI #1972772242

Contact Information

THE RUTHERFORD MEDICAL CLINIC LLC

104 E MAIN ST
RUTHERFORD, TN 38369-9711

Phone: 731-665-7741
Fax: 731-665-7750
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for THE RUTHERFORD MEDICAL CLINIC LLC

NPI # 1972772242

LBN Legal business name THE RUTHERFORD MEDICAL CLINIC LLC

Authorized official RUSSELL LITTLE - (PROVIDER/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/20/2008

Last updated 08/05/2019 - About 7 years ago

Identifiers

Medicaid

5442152

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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