PROHEALTH RURAL HEALTH SERVICES, INC (NPI# 1104827534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104827534 |
Entity Type | Organization |
Organization Name | PROHEALTH RURAL HEALTH SERVICES, INC |
Practice Address |
1325 W Main St Franklin TN 37064-3786 |
Mailing Address |
Po Box 682589 Franklin TN 37068-2589 |
Practice Telephone | 6158666163 |
Practice Fax Number | 6157940018 |
Mailing Telephone | 6155914750 |
Mailing Fax Number | 6154656518 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2015-03-30 |
Authorized Official Name | DR. RAY WHITE (PRESIDENT) |
Authorized Official Telephone | 6158666163 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1505570 | 05 | |
TN | 044-1891 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124270657 | Prohealth Rural Health Services, Inc | Clinic/Center | 180 Bear Creek Pike, Columbia, TN 38401-1813 | 2008-10-15 |
1700037157 | Prohealth Rural Health Services, Inc | Clinic/Center | 393 Wallace Rd, Suite 204, Nashville, TN 37211-4880 | 2008-10-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PROHEALTH RURAL HEALTH SERVICES, INC. | 1325 W Main St, Franklin, TN 37064-3786 |
Street Address |
1325 W MAIN ST |
City | FRANKLIN |
State | TN |
Zip Code | 37064-3786 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154897197 | David Ezekiel Strober | Social Worker | 1325 W Main St, Franklin, TN 37064-3786 | 2018-10-17 |
1972081271 | Lauren Stevens | Pharmacist | 1325 W Main St, Franklin, TN 37064-3786 | 2018-07-30 |
1003269416 | Barbara Thomas | Social Worker | 1325 W Main St, Franklin, TN 37064-3786 | 2016-07-20 |
1417343005 | Jane Julena White | Student in an Organized Health Care Education/Training Program | 1325 W Main St, Franklin, TN 37064-3786 | 2015-04-09 |
1023414166 | Tracy Conrad | Pharmacist | 1325 W Main St, Franklin, TN 37064-3786 | 2014-11-18 |
1306255740 | Prohealth Rural Health Services Inc. | Pharmacy | 1325 W Main St, Franklin, TN 37064-3786 | 2014-08-11 |
1457687055 | Virginia Grace Massey-holt | Nurse Practitioner | 1325 W Main St, Franklin, TN 37064-3786 | 2009-11-02 |
1316173909 | Prohealth Rural Health Services | Point of Service | 1325 W Main St, Franklin, TN 37064 | 2009-06-09 |
1831366509 | Daphne Caroline Titus | Nurse Practitioner | 1325 W Main St, Franklin, TN 37064-3786 | 2008-05-13 |
1689787830 | Felix R Lawrence | Dentist | 1325 W Main St, Franklin, TN 37064-3786 | 2006-08-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346852654 | Tanya Watson | Pharmacist | 1451 New Hwy 96 W, Franklin, TN 37064 | 2020-08-18 |
1629639547 | Anthony Porter Owens | Counselor | 382 Natchez St, Franklin, TN 37064 | 2019-06-21 |
1124589130 | Erica Lee Gentry | Social Worker | 125 Brevet Dr, Franklin, TN 37064 | 2019-03-31 |
1497225064 | Corbett Hinkle | Counselor | 1224 B Columbia Ave Suite 100, Franklin, TN 37064 | 2018-11-27 |
1477048148 | Robert Gurich | Counselor | 1325 W Main St Ste B, Franklin, TN 37064 | 2018-06-26 |
1649765553 | Tucker's House | Contractor | 201 Beasley Drive Unit G, Franklin, TN 37064 | 2018-06-25 |
1245775386 | Kathryn Mccaffrey Crabtree | Pharmacist | 5021 Hughes Crossings Boulevard, Franklin, TN 37064 | 2016-12-28 |
1437510146 | Jeffrey Bryce Farr | Dentist | Noba 509 New Hwy 96, Suite 100, Franklin, TN 37064 | 2016-03-09 |
1215307137 | Amanda Nicole Stacey | Occupational Therapist | 870 Oak Meadow Dr, Franklin, TN 37064 | 2015-10-05 |
1982083796 | Olivia Ellis | Social Worker | 1113 Murfreesboro Rd #202, Nashville, TN 37064 | 2015-05-26 |
Find all providers in zip 37064 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Find all providers in FRANKLIN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.