Cumberland Family Care Van Buren Clinic | |
817 College St Spencer TN 38585-3436 | |
(931) 946-2113 | |
(931) 946-2248 |
Full Name | Cumberland Family Care Van Buren Clinic |
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Speciality | Family Medicine |
Location | 817 College St, Spencer, Tennessee |
Authorized Official Name and Position | Mischelle L Ferrell (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 9317383383 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cumberland Family Care Van Buren Clinic 457 Vista Dr Sparta TN 38583-1360 Ph: (931) 738-3383 | Cumberland Family Care Van Buren Clinic 817 College St Spencer TN 38585-3436 Ph: (931) 946-2113 |
NPI Number | 1184754111 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 07/01/2016 |
Medicare PECOS PAC ID | 8729041835 |
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Medicare Enrollment ID | O20060523000104 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184754111 | NPI | - | NPPES |
44-3957 | Other | TN | RURAL HEALTH CLINIC DESIGNATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |