Organization · Type 2 NPI

Saint Thomas River Park Hospital, LLC

Rural Health Clinic/Center · Mcminnville, TN

NPI number 1063002202 Active

Practice location

155 Health Way Ste 2
Mcminnville, TN 37110-2668

Call (931) 473-4214 Map

Mailing address

300 20th Ave N Ste 403
Nashville, TN 37203-5180

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Tiffany Gannon, F.N.P.Nurse Practitioner Mcminnville, TN NPI 1043525173

Other rural health clinic/center providers in Mcminnville

See all in Mcminnville →

NPI record

NPI: 1063002202
Entity type: Organization (Type 2)
Issued: Jan 21, 2021
Last updated: Jan 21, 2021
Status: Active
Subpart: Yes of Saint Thomas River Park Hospital, LLC

Other names

Ascension Medical Group Saint Thomas Woodlee Family Practice · doing business as

Authorized official

Candace Garrett
Manager of Business Operations
(615) 290-7184

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063002202

Saint Thomas River Park Hospital, LLC's National Provider Identifier is 1063002202, issued on Jan 21, 2021. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Mcminnville, TN. The record was last updated on Jan 21, 2021.