Organization · Type 2 NPI
Upper Cumberland Rural Health Clinic PLLC
Rural Health Clinic/Center · Gainesboro, TN
NPI number
1891007431
Active
Practice location
402 E Gore Ave
Gainesboro, TN 38562-9367
Fax (931) 858-8650
Mailing address
225 N Willow Ave
Cookeville, TN 38501-2335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | 448904 (TN) |
Rural Health Clinic/Center: Definition to come...
About NPI 1891007431
Upper Cumberland Rural Health Clinic PLLC's National Provider Identifier is 1891007431, issued on Jul 12, 2010. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Gainesboro, TN. The record was last updated on Nov 9, 2022.