Upper Cumberland Rural Health Clinic Pllc | |
207 E Bockman Way Sparta TN 38583-2041 | |
(931) 836-6461 | |
Not Available |
Full Name | Upper Cumberland Rural Health Clinic Pllc |
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Speciality | Clinic/Center |
Location | 207 E Bockman Way, Sparta, Tennessee |
Authorized Official Name and Position | Navin Jain (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 9315288899 |
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 Rural Health Clinic Pllc 225 N Willow Ave Ste 3 Cookeville TN 38501-2335 Ph: () - | Upper Cumberland Rural Health Clinic Pllc 207 E Bockman Way Sparta TN 38583-2041 Ph: (931) 836-6461 |
NPI Number | 1548992423 |
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Provider Enumeration Date | 06/29/2022 |
Last Update Date | 06/29/2022 |
Medicare PECOS PAC ID | 8820198138 |
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Medicare Enrollment ID | O20220913002669 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548992423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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