MCKENZIE MEDICAL CENTER PC NPI 1144816901

NPI Information

NPI: 1144816901
Provider Name: MCKENZIE MEDICAL CENTER PC
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: HOMETOWN HEALTH CLINIC
CLIA Number: 44D2215303
Address: 205A COURT SQ
HUNTINGDON, TN
ZIP 38344
Phone: (731) 352-7907

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NPI Details

MCKENZIE MEDICAL CENTER PC is a rural health clinic center in Huntingdon, TN. MCKENZIE MEDICAL CENTER PC NPI is 1144816901. The provider is registered as an organization entity type.
The provider Is Doing Business As Hometown Health Clinic.

The provider's business location address is:

205A COURT SQ
HUNTINGDON, TN
ZIP 38344-710
Phone: (731) 352-7907
Fax: (833) 690-3848

The provider's authorized official is Tammy Etheridge .
The authorized official title is Chief Operating Officer and has the following contact phone number (731) 352-7907.

The CLIA number assigned to this NPI record is 44D2215303 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2020 and was last updated on 5/6/2024.

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	261QR1300X	Clinic/Center	Rural Health			Yes

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: 11/21/2025

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