Organization
STATE OF TENNESSEE
Active
Other names
Upper Cumberland Regional Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY STEWART (CFO)
(931) 520-4203
Entity
Organization
Contact information
Practice address
1100 ENGLAND DRIVE, COOKEVILLE, TN 38501-0924
(931) 520-4201
(931) 520-3871
Mailing address
1100 ENGLAND DRIVE, COOKEVILLE, TN 38501-0924
(931) 520-4201
(931) 520-3871
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444-7818
—
TN
Enumeration date
01/17/2007
Last updated
06/16/2023
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