PUTNAM COUNTY RURAL HEALTH CLINIC, INC (NPI# 1912996067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912996067 |
| Entity Type | Organization |
| Organization Name | PUTNAM COUNTY RURAL HEALTH CLINIC, INC |
| Other Organization Name | MONTEREY RURAL HEALTH CLINIC |
| Practice Address |
117 W Commercial Ave Monterey TN 38574-1107 |
| Mailing Address |
Po Box 175 Baxter TN 38544-0175 |
| Practice Telephone | 9318396695 |
| Practice Fax Number | 9318397023 |
| Mailing Telephone | 9318582116 |
| Mailing Fax Number | 9318582117 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JANE KISSANE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9318582116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Monterey Rural Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316936560 | Putnam County Rural Health Clinic, Inc | Clinic/Center | 319 Broad St, Baxter, TN 38544-5117 | 2005-10-20 |
| Street Address |
117 W COMMERCIAL AVE |
| City | MONTEREY |
| State | TN |
| Zip Code | 38574-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902208903 | Live Well Medical Clinic & Spa | Clinic/Center | 117 W Commercial Ave, Monterey, TN 38574-1107 | 2014-09-22 |
| 1477863231 | Brenda Lee Mcintosh | Nurse Practitioner | 117 W Commercial Ave, Monterey, TN 38574-1107 | 2010-10-14 |
| 1467667592 | Putnam County Rural Health Clinic | Legal Medicine | 117 W Commercial Ave, Monterey, TN 38574-1107 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407012891 | Robert Crombie Hall | Ophthalmology | 1536 E. Overlook Rd., Monterey, TN 38574 | 2008-08-05 |
| 1164606356 | Manish Rana | Dentist | 400 West Crawford Avenue, Suite C, Montery Dental Center, Monterey, TN 38574 | 2007-12-24 |
| 1497877583 | Mark Anthony Sherfey | Internal Medicine | 4355 Hanging Lamb Hwy, Monterey, TN 38574 | 2007-04-06 |
| 1790814457 | Ree Rene Smith | Nurse Practitioner | 1021 East Commercial Avenue, Monterey, TN 38574 | 2007-03-05 |
| 1144217803 | Charles Gray Smith | Family Medicine | 400 W Crawford Ave, Monterey, TN 38574 | 2005-09-28 |
| 1902150030 | Freds Stores of Tennessee Inc | Pharmacy | 250 E. Stratton Ave., Monterey, TN 38574-1107 | 2012-10-26 |
| 1265580815 | Bishop Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 101 W Commercial Ave, Monterey, TN 38574-1107 | 2007-01-08 |
| 1437525185 | Clifton Bishop | Pharmacist | 101 W Commercial Ave, Monterey, TN 38574-1107 | 2015-08-17 |
| 1326027798 | Hqm of Monterey, LLC | Nursing Facility/Intermediate Care Facility | 410 W Crawford Ave, Monterey, TN 38574-1122 | 2006-01-12 |
| 1033594528 | Joseph J Baco | Physical Therapist | 410 W Crawford Ave, Monterey, TN 38574-1122 | 2015-07-24 |
| Find all providers in zip 38574 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
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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.