# CUMBERLAND RIVER MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821860271
- **Authorized official:** TAMARA EROH (CREDENTIALING MGR)
- **Authorized official phone:** (931) 200-2246

## Contact information

- **Practice address:** 100 OLD JEFFERSON ST, CELINA, TN 38551-4040
- **Practice address phone:** (931) 243-3576
- **Practice address fax:** (931) 243-5155
- **Mailing address:** PO BOX 2801, CROSSVILLE, TN 38557-2801

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2023
- **Last updated:** 10/31/2023