| Ripley Medical Clinic Inc | |
|
202 Tucker Ave Ripley TN 38063-1631 | |
| (731) 635-4741 | |
| (731) 660-8739 |
| Full Name | Ripley Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Tucker Ave, Ripley, Tennessee |
| Authorized Official Name and Position | Heidi Bockholt (COO) |
| Authorized Official Contact | 7312211637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ripley Medical Clinic Inc 202 Tucker Ave Ripley TN 38063-1631 Ph: (731) 635-4741 | Ripley Medical Clinic Inc 202 Tucker Ave Ripley TN 38063-1631 Ph: (731) 635-4741 |
| NPI Number | 1013012764 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 09/29/2020 |
| Medicare PECOS PAC ID | 6800817842 |
|---|---|
| Medicare Enrollment ID | O20051219000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013012764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Patsy E Crihfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386642429 PECOS PAC ID: 8426956087 Enrollment ID: I20031222000208 |
| Provider Name | Joe W Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417941022 PECOS PAC ID: 4981668522 Enrollment ID: I20041115000370 |
| Provider Name | Bradley R Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710204128 PECOS PAC ID: 4688708274 Enrollment ID: I20100818000532 |
| Provider Name | Christy S Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871916395 PECOS PAC ID: 8820219454 Enrollment ID: I20141024001252 |
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