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Organization

EMERGENCY SERVICES CORPORATION OF AMERICA

Active
Other names
Physician's Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PUSHPENDRA K JAIN M.D. (CEO)
(931) 525-5454
Entity
Organization

Contact information

Practice address
225 N WILLOW AVE, COOKEVILLE, TN 38501-2335
(931) 525-5454
(931) 520-7655
Mailing address
225 N WILLOW AVE, COOKEVILLE, TN 38501-2335
(931) 525-5454
(931) 520-7655

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3370401
TN
Enumeration date
02/02/2007
Last updated
04/19/2016
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