GLENN A DAVIS, MD (RHC) NPI 1003021858

Clinic/Center (Rural Health) in Manchester, TN

NPI 1003021858 Organization Clinic/Center Rural Health

About GLENN A DAVIS, MD (RHC)

Glenn A Davis, Md (rhc) is a primary care provider established in Manchester, Tennessee specializing in clinic/center (rural health) . The NPI number of Glenn A Davis, Md (rhc) is 1003021858 and was assigned on May 2007. The practitioner's primary taxonomy code is 261QR1300X with license number MD16760 (TN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Ms. Tracy A Howard (Billing)

A primary care provider (PCP) like Glenn A Davis, Md (rhc) sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1003021858

Provider NameGLENN A DAVIS, MD (RHC)
Provider Location Address1020 MCARTHUR ST MANCHESTER, TN 37355
Provider Mailing Address1020 MCARTHUR ST MANCHESTER, TN 37355
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-14-2007
Last Update Date05-19-2011


Primary Taxonomy

Taxonomy Code261QR1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRural Health
License No.MD16760
License StateTN

Business Address

GLENN A DAVIS, MD (RHC)
1020 MCARTHUR ST
MANCHESTER, TN
ZIP 37355
Phone: (931) 728-2022
Fax: (931) 723-1210

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Mailing Address

GLENN A DAVIS, MD (RHC)
1020 MCARTHUR ST
MANCHESTER, TN
ZIP 37355
Phone: (931) 728-2022
Fax: (931) 723-1210



Authorized Official

Authorized Official NameMS. TRACY A HOWARD
Authorized Official TitleBILLING
Authorized Official Phone(931) 728-2022

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
443893MEDICARE ID-TYPE UNSPECIFIED (04)TN

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255527040 KATHRYN A PHILLIPS MSNRNCS
Individual
Clinic/Center (Rural Health)1020 MCARTHUR ST
MANCHESTER, TN 37355
(931) 728-2022
1659796217 HEATHER NELSON
Individual
Nurse Practitioner (Family)1020 MCARTHUR ST
MANCHESTER, TN 37355
(931) 728-2022
1497757298DR. GLENN ALAN DAVIS MD
Individual
Family Medicine1020 MCARTHUR ST
MANCHESTER, TN 37355
(931) 728-2022

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.