| Cookeville Medical Clinic Gainesboro Rhc | |
|
402 E Gore Ave Gainesboro TN 38562-9367 | |
| (931) 268-6899 | |
| (931) 858-8650 |
| Full Name | Cookeville Medical Clinic Gainesboro Rhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 402 E Gore Ave, Gainesboro, Tennessee |
| Authorized Official Name and Position | Pushpendra Jain (CEO) |
| Authorized Official Contact | 9315288899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cookeville Medical Clinic Gainesboro Rhc 225 N Willow Ave Cookeville TN 38501-2335 Ph: (931) 528-8899 | Cookeville Medical Clinic Gainesboro Rhc 402 E Gore Ave Gainesboro TN 38562-9367 Ph: (931) 268-6899 |
| NPI Number | 1891007431 |
|---|---|
| Provider Enumeration Date | 07/12/2010 |
| Last Update Date | 11/09/2022 |
| Medicare PECOS PAC ID | 8820198138 |
|---|---|
| Medicare Enrollment ID | O20100923000901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891007431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 448904 (Tennessee) | Primary |
Douglas Dycus Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3698 S Grundy Quarles Hwy, Gainesboro, TN 38562 Phone: 931-268-3224 Fax: 931-268-3228 | |
The Grove Family Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4028 S Grundy Quarles Hwy, Gainesboro, TN 38562 Phone: 931-268-1919 Fax: 931-268-1920 | |
Gainesboro Ultimate Med Service Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 179 Buck Branch Ln, Gainesboro, TN 38562 Phone: 931-303-0012 Fax: 931-241-5444 |