Provider Demographics
NPI:1609814110
Name:CUMBERLAND MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:CUMBERLAND MEDICAL CENTER, INC.
Other - Org Name:CMC HOME C.A.R.E.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BILBREY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:931-456-1227
Mailing Address - Street 1:79 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-4519
Mailing Address - Country:US
Mailing Address - Phone:931-456-1227
Mailing Address - Fax:931-484-1359
Practice Address - Street 1:79 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-4519
Practice Address - Country:US
Practice Address - Phone:931-456-1227
Practice Address - Fax:931-484-1359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000033251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN147630OtherBCBS PROVIDER ID
TN447519Medicaid
TN147630OtherBCBS PROVIDER ID