# PUTNAM COUNTY RURAL HEALTH CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baxter Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316936560
- **Authorized official:** MS. JANE KISSANE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (931) 858-2116

## Contact information

- **Practice address:** 319 BROAD ST, BAXTER, TN 38544-5117
- **Practice address phone:** (931) 858-2116
- **Practice address fax:** (931) 858-2117
- **Mailing address:** PO BOX 175, BAXTER, TN 38544-0175
- **Mailing address phone:** (931) 858-2116
- **Mailing address fax:** (931) 858-2117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | TN | Yes |

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 08/22/2020