Organization · Type 2 NPI
Crockett Medical Clinic Inc
Rural Health Clinic/Center · Alamo, TN
NPI number
1104839703
Active
Practice location
58 S. Bells St
Alamo, TN 38001
Fax (731) 696-5404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Rural Health Clinic/Center: Definition to come...
2 other providers at this address
Other rural health clinic/center providers in Alamo
About NPI 1104839703
Crockett Medical Clinic Inc's National Provider Identifier is 1104839703, issued on Aug 14, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Alamo, TN. The record was last updated on Aug 1, 2025.