Organization
CUMBERLAND OCCUPATIONAL AND URGENT CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON A SIMPSON M.D. (OWNER)
(931) 787-1990
Entity
Organization
Contact information
Practice address
118 BROWN AVE, SUITE 102, CROSSVILLE, TN 38555-7739
(931) 787-1990
(931) 787-1988
Mailing address
118 BROWN AVENUE, SUITE 102, CROSSVILLE, TN 38555
(931) 787-1990
(931) 787-1988
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506712
—
TN
01
—
4173499
BCBS
TN
01
—
P00619459
RAILROAD MEDICARE
TN
Enumeration date
12/26/2007
Last updated
10/13/2008
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