# UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baxter Medical Clinic RHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285311829
- **Authorized official:** PUSHPENDRA K JAIN MD (CEO)
- **Authorized official phone:** (931) 528-8899

## Contact information

- **Practice address:** 319 BROAD ST, BAXTER, TN 38544-5117
- **Practice address phone:** (931) 858-2116
- **Mailing address:** 319 BROAD ST, BAXTER, TN 38544-5117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/04/2023
- **Last updated:** 07/04/2023