Organization
UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC
Active
Other names
Cookeville Medical Clinic RHC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUSHPENDRA K JAIN MD (CEO)
(931) 528-8899
Entity
Organization
Contact information
Practice address
225 N WILLOW AVE STE 3, COOKEVILLE, TN 38501-2453
(931) 528-8899
(866) 449-4618
Mailing address
225 N WILLOW AVE, COOKEVILLE, TN 38501-2335
(931) 528-8899
(931) 284-4085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
443916
TN
Other
Enumeration date
02/02/2007
Last updated
02/10/2025
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