| Upper Cumberland Rural Health Clinic Pllc | |
|
2546 Windle Community Rd Cookeville TN 38506-7941 | |
| (931) 498-4880 | |
| Not Available |
| Full Name | Upper Cumberland Rural Health Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2546 Windle Community Rd, Cookeville, 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 2546 Windle Community Rd Cookeville TN 38506-7941 Ph: (931) 498-4880 |
| NPI Number | 1619720406 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 12/13/2024 |
| Medicare PECOS PAC ID | 8820198138 |
|---|---|
| Medicare Enrollment ID | O20241218000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619720406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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