Organization
UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUSHPENDRA K JAIN (OWNER)
(931) 528-8899
Entity
Organization
Contact information
Practice address
4 COURTHOUSE SQ, BYRDSTOWN, TN 38549-4351
(931) 864-0222
(931) 864-0224
Mailing address
225 N WILLOW AVE STE 3, COOKEVILLE, TN 38501-2453
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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