PUTNAM COUNTY RURAL HEALTH CLINIC INC NPI 1316936560

NPI Information

  • NPI: 1316936560
  • Provider Name: PUTNAM COUNTY RURAL HEALTH CLINIC, INC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: BAXTER MEDICAL CLINIC
  • CLIA Number: 44D2291269
  • Address: 319 BROAD ST
    BAXTER, TN
    ZIP 38544
  • Phone: (931) 858-2116

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NPI Details

PUTNAM COUNTY RURAL HEALTH CLINIC, INC is a rural health clinic center in Baxter, TN. PUTNAM COUNTY RURAL HEALTH CLINIC, INC NPI is 1316936560. The provider is registered as an organization entity type.
The provider Is Doing Business As Baxter Medical Clinic.

The provider's business location address is:

319 BROAD ST
BAXTER, TN
ZIP 38544-117
Phone: (931) 858-2116
Fax: (931) 858-2117

The provider's authorized official is Jane Kissane .
The authorized official title is Executive Director and has the following contact phone number (931) 858-2116.

The CLIA number assigned to this NPI record is 44D2291269 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2005 and was last updated on 8/22/2020.

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
1261QR1300XClinic/CenterRural HealthTENNESSEEYes

What is NPI?

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This page was last updated on: 3/30/2025

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