Organization
WT REGIONAL MEDICAL ASSOCIATES
Active
Other names
West Tennessee Medical Group Primary Care Caruthersville
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E ROSS PRESIDENT (CEO)
(731) 541-6735
Entity
Organization
Contact information
Practice address
108 W 15TH STREET, CARUTHERSVILLE, MO 63830-2202
(731) 512-1277
Mailing address
108 W 15TH ST, CARUTHERSVILLE, MO 63830-2202
(573) 333-0033
(573) 333-2522
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079-3800
—
MO
Enumeration date
04/29/2010
Last updated
10/30/2025
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