Prohealth Rural Health Services, Inc | |
180 Bear Creek Pike Columbia TN 38401-1813 | |
(931) 381-7567 | |
(931) 374-9958 |
Full Name | Prohealth Rural Health Services, Inc |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 180 Bear Creek Pike, Columbia, Tennessee |
Authorized Official Name and Position | Ray White (PRESIDENT) |
Authorized Official Contact | 6158666163 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prohealth Rural Health Services, Inc Po Box 682589 Franklin TN 37068-2589 Ph: (615) 591-4750 | Prohealth Rural Health Services, Inc 180 Bear Creek Pike Columbia TN 38401-1813 Ph: (931) 381-7567 |
NPI Number | 1124270657 |
---|---|
Provider Enumeration Date | 10/15/2008 |
Last Update Date | 10/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124270657 | NPI | - | NPPES |
1505581 | Medicaid | TN | |
0441893 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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