Organization
PROHEALTH RURAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY WHITE PHD (PRESIDENT)
(615) 866-6163
Entity
Organization
Contact information
Practice address
1325 W MAIN ST, FRANKLIN, TN 37064-3786
(615) 866-6163
(615) 794-0018
Mailing address
PO BOX 682589, FRANKLIN, TN 37068-2589
(615) 591-4750
(615) 465-6518
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044-1891
—
TN
05
—
1505570
—
TN
Enumeration date
08/09/2005
Last updated
03/30/2015
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