Organization
UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC
Active
Other names
Cookeville Medical Clinic Gainesboro RHC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUSHPENDRA JAIN MD (CEO)
(931) 528-8899
Entity
Organization
Contact information
Practice address
402 E GORE AVE, GAINESBORO, TN 38562-9367
(931) 268-6899
(931) 858-8650
Mailing address
225 N WILLOW AVE, COOKEVILLE, TN 38501-2335
(931) 528-8899
(931) 284-4085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
448904
TN
Other
Enumeration date
07/12/2010
Last updated
11/09/2022
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