# MARTIN HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Tennessee Medical Group Hillview South Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669876520
- **Authorized official:** MS. TINA PRESCOTT (PRESIDENT AND CEO)
- **Authorized official phone:** (731) 541-5000

## Contact information

- **Practice address:** 1135 BROADWAY STREET, SOUTH FULTON, TN 38257-2835
- **Practice address phone:** (731) 479-2606
- **Practice address fax:** (731) 479-2610
- **Mailing address:** 1135 BROADWAY STREET, SOUTH FULTON, TN 38257-2835
- **Mailing address phone:** (731) 479-2606
- **Mailing address fax:** (731) 479-2610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 0000000126 | TN | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/21/2014
- **Last updated:** 10/14/2024