| Upper Cumberland Rural Health Clinic Pllc | |
|
4 Courthouse Sq Byrdstown TN 38549-4351 | |
| (931) 864-0222 | |
| (931) 864-0224 |
| Full Name | Upper Cumberland Rural Health Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4 Courthouse Sq, Byrdstown, Tennessee |
| Authorized Official Name and Position | Pushpendra K Jain (OWNER) |
| Authorized Official Contact | 9315288899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Cumberland Rural Health Clinic Pllc 225 N Willow Ave Ste 3 Cookeville TN 38501-2453 Ph: () - | Upper Cumberland Rural Health Clinic Pllc 4 Courthouse Sq Byrdstown TN 38549-4351 Ph: (931) 864-0222 |
| NPI Number | 1720802622 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 8820198138 |
|---|---|
| Medicare Enrollment ID | O20250109001475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720802622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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