Provider Demographics
NPI:1235761651
Name:RHEA MEDICAL CENTER
Entity Type:Organization
Organization Name:RHEA MEDICAL CENTER
Other - Org Name:RHEA MEDICAL CENTER RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-775-1121
Mailing Address - Street 1:195 WHITE OAK ROAD
Mailing Address - Street 2:STE 100
Mailing Address - City:DAYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37321-5981
Mailing Address - Country:US
Mailing Address - Phone:423-285-6240
Mailing Address - Fax:877-276-2910
Practice Address - Street 1:195 WHITE OAK ROAD
Practice Address - Street 2:STE 100
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-5981
Practice Address - Country:US
Practice Address - Phone:423-285-6240
Practice Address - Fax:877-276-2910
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RHEA MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-05
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health