DR. RUANTO'S CLINIC NPI 1194990101

NPI Information

NPI: 1194990101
Provider Name: DR. RUANTO'S CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
104 OLD JEFFERSON STREET
CELINA, TN
ZIP 38551
Phone: (931) 243-4176
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DR. RUANTO'S CLINIC is a primary care clinic center in Celina, TN. DR. RUANTO'S CLINIC NPI is 1194990101. The provider is registered as an organization entity type.

The provider's business location address is:

104 OLD JEFFERSON STREET
CELINA, TN
ZIP 38551-347
Phone: (931) 243-4176
Fax: (931) 243-4641

The provider's authorized official is Arturo N Ruanto .
The authorized official title is President and has the following contact phone number (931) 243-4176.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 4/30/2008.

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	261QP2300X	Clinic/Center	Primary Care	13102	TENNESSEE	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	Other Provider Identifier Issuer
1	3183603	MEDICAID	TENNESSEE
2	B59443	MEDICARE UPIN	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: 5/5/2024

NPI Synchronization or Removal

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