# UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC

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

## Provider details

- **NPI number:** 1548992423
- **Authorized official:** NAVIN JAIN MHA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (931) 528-8899

## Contact information

- **Practice address:** 207 E BOCKMAN WAY, SPARTA, TN 38583-2041
- **Practice address phone:** (931) 836-6461
- **Mailing address:** 225 N WILLOW AVE STE 3, COOKEVILLE, TN 38501-2335

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2022
- **Last updated:** 06/29/2022