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RUTHERFORD COUNTY PRIMARY CARE NPI 1114973237


NPI Information

NPI: 1114973237
Provider Name: RUTHERFORD COUNTY PRIMARY CARE

Doing Business As: PRIMARY CARE & HOPE CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1453 HOPE WAY
MURFREESBORO, TN
ZIP 37129
Phone: (615) 893-9390
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RUTHERFORD COUNTY PRIMARY CARE is a federally qualified health center (fqhc) clinic center in Murfreesboro, TN. RUTHERFORD COUNTY PRIMARY CARE NPI is 1114973237. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Primary Care & Hope Clinic.

The provider's business location address is:

1453 HOPE WAY
MURFREESBORO, TN
ZIP 37129-140
Phone: (615) 893-9390
Fax: (615) 893-4162

The provider's authorized official is Shane Smith .
The authorized official title is Financial Officer and has the following contact phone number (615) 893-9390.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 1/4/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13370199MEDICAIDTENNESSEE
24448201MEDICAIDTENNESSEE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.