# STATE OF TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Upper Cumberland Regional Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598817017
- **Authorized official:** TAMMY STEWART (CFO)
- **Authorized official phone:** (931) 520-4203

## Contact information

- **Practice address:** 1100 ENGLAND DRIVE, COOKEVILLE, TN 38501-0924
- **Practice address phone:** (931) 520-4201
- **Practice address fax:** (931) 520-3871
- **Mailing address:** 1100 ENGLAND DRIVE, COOKEVILLE, TN 38501-0924
- **Mailing address phone:** (931) 520-4201
- **Mailing address fax:** (931) 520-3871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 06/16/2023