Organization
PATIENTS CHOICE MEDICAL CENTER OF ERIN, TENNESSEE, LLC
Active
Parent organization
RURAL HEALTHCARE DEVELOPER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RURAL HEALTHCARE DEVELOPER, INC
Authorized official
MR. ELSTON C KEMP (CEO)
(662) 840-0196
Entity
Organization
Contact information
Practice address
5001 E MAIN ST, ERIN, TN 37061-4115
(931) 289-4211
(931) 289-4337
Mailing address
5001 E MAIN ST, P O BOX 489, ERIN, TN 37061-4115
(931) 289-4211
(931) 289-4337
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
0000000055
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44M312
MEDICARE PTAN
TN
Enumeration date
06/01/2009
Last updated
06/20/2012
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