institution
West Tennessee Primary Care, Llc
Rural Health Clinic/Center in Henderson, Tennessee
NPI 1942779509

West Tennessee Primary Care, Llc is a Rural Health Clinic/Center based in Henderson, TN and is specialized in Rural Health. West Tennessee Primary Care, Llc practices in Henderson, TN. The NPI Number for West Tennessee Primary Care, Llc is 1942779509 and holds a License No. (Tennessee).

The current practice location address for West Tennessee Primary Care, Llc is 541 W Park Pl, Henderson, TN and can be reached out via phone at 731-989-1007 and via fax at 731-989-0704.

Location: 541 W Park Pl, Henderson, TN, 38340-2027
institution
Provider Profile Details
NPI Number
1942779509
Provider Name
West Tennessee Primary Care, Llc
Credential
Provider Entity Type
Organization
Address
541 W Park Pl, Henderson, TN, 38340-2027
Phone Number
731-989-1007
Fax Number
731-989-0704
Provider Enumeration Date
11/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
443960 01 TN MEDICARE PTAN FOR RURAL HEALTH CLINIC
institution
Provider Business Practice Location Address Details
Address
541 W Park Pl
City
State
Zip
38340-2027
Phone Number
731-989-1007
Fax Number
731-989-0704
person
Provider Business Mailing Address Details
Address
541 W Park Pl
City
State
Zip
38340-2027
Phone Number
731-989-1007
Fax Number
731-989-0704
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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