| 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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