| Organization Name: | GRUNDY COUNTY HEALTH SERVICES, INC. |
| NPI Number: | 1770588683 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL STANLEY YARWORTH (OWNER) |
| Mailing Address: | Highway 150 South Tracy City |
| State: | TN US |
| Postal Code: | 373871449 |
| Phone Number: | 9315924242 |
| Fax Number: | 9315924245 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN0000010476 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |