Healthcare Provider Details

I. General information

NPI: 1457822355
Provider Name (Legal Business Name): RIVER RUN MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 12/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 ROBERT ROSE DR STE D
MURFREESBORO TN
37129-6365
US

IV. Provider business mailing address

210 ROBERT ROSE DR STE D
MURFREESBORO TN
37129-6365
US

V. Phone/Fax

Practice location:
  • Phone: 615-225-9100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN MORRIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 404-918-9607