UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC; NPI #1891007431

Contact Information

UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC

402 E GORE AVE
GAINESBORO, TN 38562-9367

Phone: 931-268-6899
Fax: 931-858-8650
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family Medicine	207Q00000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC

NPI Number 1891007431

LBN Legal business name UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC

Authorized official PUSHPENDRA JAIN - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/12/2010

Last updated 11/09/2022 - About 4 years ago

Identifiers

License #

448904

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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UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC

Contact Information

Specialty

Rural Health

Family Medicine

NPI Profile & details for UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC

Reviews for UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC