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MONTEREY MEDICAL LLC
NPI 1497339790
Clinic/Center - Rural Health in Monterey, TN

Active since May 12, 2021CLIA 44D2224797 · Waiver
400 W CRAWFORD AVE, MONTEREY, TN 38574(931) 839-2224(931) 839-2530 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, May 12, 2021 (2 updates tracked since 2021).

About Monterey Medical Llc NPPES

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

MONTEREY MEDICAL LLC (NPI 1497339790) is a healthcare organization registered as a rural health in Monterey, Tennessee and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through May 15, 2027 and lists Crystal Denise Vaughn, Vice President, as its authorized official.

NPPES Registry Identity

NPI1497339790
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMONTEREY MEDICAL LLC
Location Address400 W CRAWFORD AVEMonterey, TN 38574-1166
Mailing Address400 W Crawford AveMonterey, TN 38574-1166
Phone(931) 839-2224
Fax(931) 839-2530
Organization SubpartNo
Authorized OfficialCrystal Denise VaughnVice President · (931) 260-5756
Enumeration DateMay 12, 2021
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1497339790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
400 W CRAWFORD AVE, Monterey, TN 38574
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D2224797

Monterey Medical, LLC · Monterey, TN
Active · expires May 15, 2027
CLIA Number44D2224797
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorDr. Richard Clark
Laboratory Phone(931) 839-2224
Laboratory LocationMonterey Medical, LLC400 West Crawford Ave, Monterey, TN 38574
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 4

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

MICHAEL A RAWDON FNP MSN
Nurse Practitioner (Family)
400 W CRAWFORD AVE
MONTEREY, TN 38574
Putnam County (931) 839-2224
DR. CHARLES GRAY SMITH MD
Family Medicine
400 W CRAWFORD AVE
MONTEREY, TN 38574
Putnam County (931) 839-2224
STATE OF TENNESSEE
Clinic/Center (Federally Qualified Health Center (FQHC))
400 W CRAWFORD AVE
MONTEREY, TN 38574
Putnam County (315) 204-2039
MONTEREY DENTAL CENTER
Dentist
400 W CRAWFORD AVE, STE C
MONTEREY, TN 38574
Putnam County (931) 839-8684

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 Monterey Medical LLC's NPI number?

The NPI number for Monterey Medical LLC is 1497339790. It was assigned to this organization in the NPPES registry on May 12, 2021.

Where is Monterey Medical LLC located?

Monterey Medical LLC is located at 400 W Crawford Ave, Monterey, TN 38574. The listed phone number is (931) 839-2224.

What is Monterey Medical LLC's specialty?

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

Does Monterey Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2224797) is associated with this NPI, valid through May 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Monterey Medical LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Monterey Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monterey Medical LLC was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.