# WT REGIONAL MEDICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Tennessee Medical Group Primary Care Caruthersville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477870467
- **Authorized official:** JAMES E ROSS PRESIDENT (CEO)
- **Authorized official phone:** (731) 541-6735

## Contact information

- **Practice address:** 108 W 15TH STREET, CARUTHERSVILLE, MO 63830-2202
- **Practice address phone:** (731) 512-1277
- **Mailing address:** 108 W 15TH ST, CARUTHERSVILLE, MO 63830-2202
- **Mailing address phone:** (573) 333-0033
- **Mailing address fax:** (573) 333-2522

## Taxonomy

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

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 10/30/2025
