| Byrdstown Heritage Medical Center | |
|
8401 Hwy 111 Byrdstown TN 38549-1006 | |
| (931) 864-2462 | |
| Not Available |
| Full Name | Byrdstown Heritage Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 8401 Hwy 111, Byrdstown, Tennessee |
| Authorized Official Name and Position | Cully Copeland (OWNER) |
| Authorized Official Contact | 9318642462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Byrdstown Heritage Medical Center 8401 Hwy 111 Byrdstown TN 38549-1006 | Byrdstown Heritage Medical Center 8401 Hwy 111 Byrdstown TN 38549-1006 Ph: (931) 864-2462 |
| NPI Number | 1285571984 |
|---|---|
| Provider Enumeration Date | 04/30/2026 |
| Last Update Date | 04/30/2026 |
| Certification Date | 04/30/2026 |
| Medicare PECOS PAC ID | 8820567399 |
|---|---|
| Medicare Enrollment ID | O20260513003649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285571984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Cullen Cleveland Copeland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548833320 PECOS PAC ID: 3476957549 Enrollment ID: I20260513003884 |
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