# MCKENZIE MEDICAL CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hometown Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932084274
- **Authorized official:** TAMMY ETHERIDGE (ADMINISTRATOR)
- **Authorized official phone:** (731) 678-0055

## Contact information

- **Practice address:** 1731 S MERIDIAN ST, GREENFIELD, TN 38230
- **Practice address phone:** (731) 678-0055
- **Practice address fax:** (731) 678-0059
- **Mailing address:** 1731 S MERIDIAN ST, GREENFIELD, TN 38230
- **Mailing address phone:** (731) 678-0055
- **Mailing address fax:** (731) 678-0059

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2025
- **Last updated:** 08/06/2025