Healthcare Provider Details

I. General information

NPI: 1275181406
Provider Name (Legal Business Name): RURAL HOSPITALS AND CLINICS OF AMERICA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2019
Last Update Date: 10/12/2020
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 OLD JEFFERSON ST
CELINA TN
38551-4040
US

IV. Provider business mailing address

PO BOX 2861
CROSSVILLE TN
38557-2861
US

V. Phone/Fax

Practice location:
  • Phone: 931-243-3680
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CANDIE POWER
Title or Position: CREDENTIALING
Credential:
Phone: 931-243-5295