Organization
UPPER CUMBERLAND COMMUNITY SERVICES AGENCY
Active
Organization
UPPER CUMBERLAND COMMUNITY SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE ANN PILSON (EXECUTIVE DIRECTOR)
(931) 520-0200
Entity
Organization
Contact information
Practice address
1000 ENGLAND DR, SUITE F, COOKEVILLE, TN 38501-0940
(931) 520-0200
(931) 520-0080
Mailing address
1000 ENGLAND DR, SUITE F, COOKEVILLE, TN 38501-0940
(931) 520-0200
(931) 520-0080
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T000196
TENNCARE/MEDICAID
TN
Enumeration date
08/15/2007
Last updated
08/15/2007
Update your record
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