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BAXTER MEDICAL CLINIC
NPI 1316936560
Clinic/Center - Rural Health in Baxter, TN

Active since October 20, 2005CLIA 44D2291269 · Waiver
319 BROAD ST, BAXTER, TN 38544(931) 858-2116(931) 858-2117 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Baxter Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAXTER MEDICAL CLINIC (NPI 1316936560) is a healthcare organization registered as a rural health in Baxter, Tennessee and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Jane Kissane, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1316936560
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePUTNAM COUNTY RURAL HEALTH CLINIC, INC
Location Address319 BROAD STBaxter, TN 38544-5117
Mailing AddressPo Box 175Baxter, TN 38544-0175 · (931) 858-2116 · Fax (931) 858-2117
Phone(931) 858-2116
Fax(931) 858-2117
Organization SubpartNo
Authorized OfficialJane KissaneExecutive Director · (931) 858-2116
Enumeration DateOctober 20, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316936560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
319 BROAD ST, Baxter, TN 38544
Open in Google Maps ↗

Other Names 1

Doing Business AsBaxter Medical Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2291269

Baxter Medical Clinic · Baxter, TN
Active · expires Oct 8, 2027
CLIA Number44D2291269
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorPushpendra K. Jain
Laboratory Phone(931) 858-2116
Laboratory LocationBaxter Medical Clinic319 Broad Street, Baxter, TN 38544
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UPPER CUMBERLAND MEDICAL CLINIC, INC.
Clinic/Center
319 BROAD ST
BAXTER, TN 38544
Putnam County (931) 858-2116
MRS. JACQUELINE LEE SWALLOWS FNP-BC, NP-C
Nurse Practitioner (Family)
319 BROAD ST
BAXTER, TN 38544
Putnam County (931) 858-2116
UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC
Clinic/Center (Rural Health)
319 BROAD ST
BAXTER, TN 38544
Putnam County (931) 858-2116
SARAH NELLER AGPCNP-BC
Nurse Practitioner (Adult Health)
319 BROAD ST
BAXTER, TN 38544
Putnam County (931) 858-2116
JOAN ANTHONY NP-C
Nurse Practitioner (Primary Care)
319 BROAD ST
BAXTER, TN 38544
Putnam County (931) 858-2116
RICHARD FIELDS MD
Emergency Medicine
319 BROAD ST
BAXTER, TN 38544
Putnam County (931) 858-2116
ANNE MELINDA BARKER FNP-BC
Nurse Practitioner (Family)
319 BROAD ST
BAXTER, TN 38544
Putnam County (931) 858-2116
MRS. SUSAN AYERS JOHNSON NP
Nurse Practitioner (Family)
319 BROAD ST
BAXTER, TN 38544
Putnam County (931) 858-2116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Putnam County Rural Health Clinic, Inc's NPI number?

The NPI number for Putnam County Rural Health Clinic, Inc is 1316936560. It was assigned to this organization in the NPPES registry on October 20, 2005. The provider is doing business as Baxter Medical Clinic.

Where is Putnam County Rural Health Clinic, Inc located?

Putnam County Rural Health Clinic, Inc is located at 319 Broad St, Baxter, TN 38544. The listed phone number is (931) 858-2116.

What is Putnam County Rural Health Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Putnam County Rural Health Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2291269) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Putnam County Rural Health Clinic, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.