Organization
CUMBERLAND FAMILY CARE P.C.
Active
Parent organization
CUMBERLAND FAMILY CARE, P.C.
Other names
Cumberland Family Care Van Buren Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CUMBERLAND FAMILY CARE, P.C.
Authorized official
MISCHELLE L FERRELL MHA (PRACTICE ADMINISTRATOR)
(931) 738-3383
Entity
Organization
Contact information
Practice address
817 COLLEGE ST, SPENCER, TN 38585-3436
(931) 946-2113
(931) 946-2248
Mailing address
457 VISTA DR, SPARTA, TN 38583-1360
(931) 738-3383
(931) 738-8911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44-3957
RURAL HEALTH CLINIC DESIGNATION
TN
Enumeration date
03/07/2007
Last updated
07/01/2016
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