# COOKEVILLE REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COOKEVILLE REGIONAL MEDICAL CENTER
- **Other names:** Cookeville Regional Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023397031
- **Legal business name:** COOKEVILLE REGIONAL MEDICAL CENTER
- **Authorized official:** MARILYN C KEY (CEO)
- **Authorized official phone:** (931) 783-2481

## Contact information

- **Practice address:** 1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
- **Practice address phone:** (931) 783-5857
- **Practice address fax:** (931) 526-6760
- **Mailing address:** PO BOX 15061, BELFAST, ME 04915-4045
- **Mailing address phone:** (931) 783-5857
- **Mailing address fax:** (931) 526-6760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | TN | — |
| 207RH0003X | Hematology & Oncology Physician | — | TN | — |
| 208M00000X | Hospitalist Physician | — | TN | Yes |
| 363L00000X | Nurse Practitioner | — | TN | — |

## Other

- **Enumeration date:** 08/08/2011
- **Last updated:** 06/21/2023