Organization · Type 2 NPI

Vanderbilt Integrated Providers, LLC

Rural Health Clinic/Center · Tullahoma, TN

NPI number 1164200747 Active

Practice location

1805 N Jackson St Ste 100
Tullahoma, TN 37388-2291

Call (931) 455-7767 Map

Fax (931) 222-4057

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Specialties and licenses

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

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

4 other providers at this address

Shelbyville Hospital Company LLCRural Health Clinic/Center Tullahoma, TN NPI 1326556721
Collin Crutcher Bills, MDOrthopaedic Surgery Physician Tullahoma, TN NPI 1881984037
Justin Neal Miller, MDInternal Medicine Physician Tullahoma, TN NPI 1659834166
Kathryn Elizabeth Waller, FNP-CFamily Nurse Practitioner Tullahoma, TN NPI 1841562907

Other rural health clinic/center providers in Tullahoma

See all in Tullahoma →

NPI record

NPI: 1164200747
Entity type: Organization (Type 2)
Issued: Sep 15, 2023
Last updated: Jun 12, 2024
Status: Active

Other names

<unavail>
Vanderbilt Integrated Internal Medicine · doing business as
Vanderbilt Integrated Internal Medicine · doing business as

Authorized official

Wendy D Monaci
Vice President
(615) 936-3944

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.

Is this your record? How to update it.

About NPI 1164200747

Vanderbilt Integrated Providers, LLC's National Provider Identifier is 1164200747, issued on Sep 15, 2023. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Tullahoma, TN. The record was last updated on Jun 12, 2024.