Organization
CUMBERLAND RIVER HOSPITAL INC
Active
Other names
Cumberland River Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PARICIA LYNNE STRONG (CFO)
(931) 243-3581
Entity
Organization
Contact information
Practice address
110 DOCTORS DR, CELINA, TN 38551-5092
(931) 243-3860
(931) 243-4607
Mailing address
100 OLD JEFFERSON ST, CELINA, TN 38551-4040
(931) 243-3860
(931) 243-4607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
135
TN
261QR1300X
Rural Health Clinic/Center
Primary
135
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287940
—
TN
05
—
1356427462
—
TN
05
—
3873320
—
TN
01
—
4227265
BLUE CROSS BLUE SHIELD
TN
Enumeration date
10/31/2006
Last updated
03/17/2018
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