National Provider Identifier Database

UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC
Rural Health


Contact Information

UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC
402 E GORE AVE
GAINESBORO, TN38562-9367
Phone: 931-268-6899
Fax: 931-858-8650
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC

NPI Number 1891007431
Legal business name
LBN
UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC
Authorized official PUSHPENDRA JAIN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/12/2010
Last updated 11/09/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 448904

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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