| |
557 W Park Pl Henderson TN 38340-2027 | |
(731) 989-1007 | |
(731) 989-0704 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 557 W Park Pl, Henderson, Tennessee |
Authorized Official Name and Position | Charles E Rickard (OWNER) |
Authorized Official Contact | 7319891007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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557 W Park Pl Henderson TN 38340-2027 Ph: (731) 989-1007 | 557 W Park Pl Henderson TN 38340-2027 Ph: (731) 989-1007 |
NPI Number | 1861446858 |
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Provider Enumeration Date | 05/22/2006 |
Last Update Date | 05/27/2010 |
Identifier | Type | State | Issuer |
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1861446858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 44-3960 (Tennessee) | Primary |
Frix-jennings Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 W Main St, Henderson, TN 38340 Phone: 731-989-0001 Fax: 731-989-5151 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 E Main St, Henderson, TN 38340 Phone: 731-435-1488 Fax: 731-435-1489 | |
Wtpc, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 541 W Park Pl, Henderson, TN 38340 Phone: 731-989-1007 Fax: 731-989-0704 | |
Anew Family Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Front St, Henderson, TN 38340 Phone: 731-989-2829 Fax: 731-520-0230 |