| Cookeville Medical Clinic Rhc | |
|
225 N Willow Ave Cookeville TN 38501-2335 | |
| (931) 528-8899 | |
| (931) 284-4085 |
| Full Name | Cookeville Medical Clinic Rhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 N Willow Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Pushpendra K 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 Rhc 225 N Willow Ave Cookeville TN 38501-2335 Ph: (931) 528-8899 | Cookeville Medical Clinic Rhc 225 N Willow Ave Cookeville TN 38501-2335 Ph: (931) 528-8899 |
| NPI Number | 1346388246 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 11/09/2022 |
| Medicare PECOS PAC ID | 8820198138 |
|---|---|
| Medicare Enrollment ID | O20070716000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346388246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 443916 (Tennessee) | Primary |
| Provider Name | Priscilla Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548046857 PECOS PAC ID: 3072952712 Enrollment ID: I20240415002685 |
Cookeville Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 N Willow Ave, Cookeville, TN 38501 Phone: 931-528-8899 Fax: 866-813-8531 | |
Kenny W. Lynn, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Cedar Ave, Cookeville, TN 38501 Phone: 931-528-7418 Fax: 931-525-6165 | |
Tennessee Health And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 102, Cookeville, TN 38501 Phone: 931-651-1918 Fax: 931-651-1912 | |
Interstate Health Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 190, Cookeville, TN 38501 Phone: 931-526-1604 | |
Benchmark Pt - Cookeville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 S Jefferson Ave Ste I, Cookeville, TN 38501 Phone: 423-238-7217 | |
1101 Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-7797 | |
Urgent Team Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 S Jefferson Ave Ste 101, Cookeville, TN 38501 Phone: 931-303-0958 Fax: 931-854-1545 |