CUMBERLAND PEDIATRIC ASSOCIATES PC; NPI #1104964576

Contact Information

CUMBERLAND PEDIATRIC ASSOCIATES PC

1029 W MAIN ST
SUITE M
LEBANON, TN 37087-3351

Phone: 615-453-1252
Fax: 615-453-1286
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	261QP2300X
Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for CUMBERLAND PEDIATRIC ASSOCIATES PC

NPI Number 1104964576

LBN Legal business name CUMBERLAND PEDIATRIC ASSOCIATES PC

Authorized official CHARLES JORDAN - (PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/01/2007

Last updated 03/16/2025 - More than a year ago

Identifiers

Medicaid

3713897

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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CUMBERLAND PEDIATRIC ASSOCIATES PC

Contact Information

Specialty

Primary Care

Rural Health

NPI Profile & details for CUMBERLAND PEDIATRIC ASSOCIATES PC

Reviews for CUMBERLAND PEDIATRIC ASSOCIATES PC