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Contact Information

CUMBERLAND CLINIC, PLLC
1210 W 5TH ST
LONDON, KY40741-2112
 Phone: 606-864-4040
 Fax: 606-877-1722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CUMBERLAND CLINIC, PLLC

NPI Number 1457432247
LBN Legal business name CUMBERLAND CLINIC, PLLC
Authorized official SATYABRATA CHATTERJEE - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 04/23/2008 - About 18 years ago
Identifiers
KY Medicaid 7100020740
Other 612029800 FEDERAL BLACK LUNG GROUP NUMBER
KY Other 000000503391 BCBS OF KY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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