Provider Type Icon

PARIS HENRY COUNTY CLINIC S.C. NPI 1396709283


NPI Information

NPI: 1396709283
Provider Name: PARIS HENRY COUNTY CLINIC, S.C.
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 44D0693957

Address:
305 TYSON AVE
PARIS, TN
ZIP 38242
Phone: (731) 642-0025
Get Directions

PARIS HENRY COUNTY CLINIC, S.C. is a general practice in Paris, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PARIS HENRY COUNTY CLINIC, S.C. NPI is 1396709283. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

305 TYSON AVE
PARIS, TN
ZIP 38242-579
Phone: (731) 642-0025
Fax: (731) 644-0899

The provider's authorized official is Susan Stubblefield .
The authorized official title is Assistant Business Manager and has the following contact phone number (731) 642-0025.

The CLIA number assigned to this NPI record is 44D0693957 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 9/12/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineNo
3363LF0000XNurse PractitionerFamily0000005352TENNESSEENo
4208D00000XGeneral PracticeYes

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
13723940MEDICARE ID-TYPE UNSPECIFIEDTENNESSEECLINIC MEDICARE NUMBER
23723940MEDICAIDTENNESSEE

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.