PROHEALTH RURAL HEALTH SERVICES INC NPI 1104827534

NPI Information

NPI: 1104827534
Provider Name: PROHEALTH RURAL HEALTH SERVICES, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1325 W MAIN ST
FRANKLIN, TN
ZIP 37064
Phone: (615) 866-6163
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PROHEALTH RURAL HEALTH SERVICES, INC is a federally qualified health center (fqhc) clinic center in Franklin, TN. PROHEALTH RURAL HEALTH SERVICES, INC NPI is 1104827534. The provider is registered as an organization entity type.

The provider's business location address is:

1325 W MAIN ST
FRANKLIN, TN
ZIP 37064-786
Phone: (615) 866-6163
Fax: (615) 794-0018

The provider's authorized official is Ray White .
The authorized official title is President and has the following contact phone number (615) 866-6163.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 3/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	44-1891	MEDICARE OSCAR/CERTIFICATION	TENNESSEE
2	044-1891	MEDICAID	TENNESSEE
3	1505570	MEDICAID	TENNESSEE
4	441893	MEDICARE OSCAR/CERTIFICATION	TENNESSEE
5	3900512	MEDICARE PIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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