Organization
CUMBERLAND RIVER MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA EROH (CREDENTIALING MGR)
(931) 200-2246
Entity
Organization
Contact information
Practice address
100 OLD JEFFERSON ST, CELINA, TN 38551-4040
(931) 243-3576
(931) 243-5155
Mailing address
PO BOX 2801, CROSSVILLE, TN 38557-2801
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/31/2023
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