DYERSBURG HEALTH – NPI #1134698673
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

DYERSBURG HEALTH is a provider located in DYERSBURG, TN. NPPES has assigned the NPI number 1134698673 to DYERSBURG HEALTH on November 14, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Oct 14, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DYERSBURG HEALTH below.

NPI Profile for
DYERSBURG HEALTH

NPI Number
1134698673
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DYERSBURG HEALTH
Primary location
400 E TICKLE ST
DYERSBURG, TN 38024-3120
Phone: (731) 287-2400 Fax: (731) 285-9545
Mailing address
PO BOX 505483
SAINT LOUIS, MO 63150-5483
Phone: (731) 287-2400 Fax: (731) 285-9545
Organization Subpart
No
Authorized Official
TINA PRESCOTT
PRESIDENT AND CEO
Phone: (731) 541-5000
Updated
Certification Date
Oct 14, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.