| Dr. Ruanto's Clinic | |
|
104 Old Jefferson Street Celina TN 38551-0347 | |
| (931) 243-4176 | |
| (931) 243-4641 |
| Full Name | Dr. Ruanto's Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 104 Old Jefferson Street, Celina, Tennessee |
| Authorized Official Name and Position | Arturo N Ruanto (PRESIDENT) |
| Authorized Official Contact | 9312434176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ruanto's Clinic Po Box 347 104 Old Jefferson Street Celina TN 38551-0347 Ph: (931) 243-4176 | Dr. Ruanto's Clinic 104 Old Jefferson Street Celina TN 38551-0347 Ph: (931) 243-4176 |
| NPI Number | 1194990101 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194990101 | NPI | - | NPPES |
| 3183603 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 13102 (Tennessee) | Primary |
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