Upper Cumberland Medical Clinic, Inc. | |
319 Broad St Baxter TN 38544-5117 | |
(931) 858-2116 | |
(931) 858-2117 |
Full Name | Upper Cumberland Medical Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 319 Broad St, Baxter, Tennessee |
Authorized Official Name and Position | Jacqueline D Swallows (NURSE PRACTITIONER) |
Authorized Official Contact | 9318582116 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Upper Cumberland Medical Clinic, Inc. Po Box 175 Baxter TN 38544-0175 Ph: (931) 858-2116 | Upper Cumberland Medical Clinic, Inc. 319 Broad St Baxter TN 38544-5117 Ph: (931) 858-2116 |
NPI Number | 1003302423 |
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Provider Enumeration Date | 07/09/2018 |
Last Update Date | 07/09/2018 |
Medicare PECOS PAC ID | 0042564163 |
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Medicare Enrollment ID | O20181108000905 |
Identifier | Type | State | Issuer |
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1003302423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Richard D Fields |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1700827102 PECOS PAC ID: 6507895232 Enrollment ID: I20050811001015 |
Provider Name | Jacqueline L Swallows |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023397957 PECOS PAC ID: 2062683865 Enrollment ID: I20110928000341 |
Provider Name | Joan L Anthony |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639549421 PECOS PAC ID: 9032429782 Enrollment ID: I20200526000508 |
Provider Name | Shawn Billingsley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508530734 PECOS PAC ID: 2860899382 Enrollment ID: I20210927002202 |
Upper Cumberland Rural Health Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Broad St, Baxter, TN 38544 Phone: 931-858-2116 | |
Baxter Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Broad St, Baxter, TN 38544 Phone: 931-858-2116 Fax: 931-858-2117 | |
Ascend Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 4th Ave S, Baxter, TN 38544 Phone: 931-349-8069 |