| Prohealth Rural Health Services, Inc | |
|
1325 W Main St Franklin TN 37064-3786 | |
| (615) 866-6163 | |
| (615) 794-0018 |
| Full Name | Prohealth Rural Health Services, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1325 W Main St, Franklin, 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 1325 W Main St Franklin TN 37064-3786 Ph: (615) 866-6163 |
| NPI Number | 1104827534 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104827534 | NPI | - | NPPES |
| 044-1891 | Medicaid | TN | |
| 1505570 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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