Provider Demographics
NPI:1942543038
Name:RURAL HEALTH CLINIC OF THE CUMBERLANDS, INC
Entity Type:Organization
Organization Name:RURAL HEALTH CLINIC OF THE CUMBERLANDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING REPRESENTATIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:931-277-5992
Mailing Address - Street 1:9400 SPARTA HWY
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38572-7282
Mailing Address - Country:US
Mailing Address - Phone:931-277-5992
Mailing Address - Fax:931-277-5996
Practice Address - Street 1:9400 SPARTA HWY
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38572-7282
Practice Address - Country:US
Practice Address - Phone:931-277-5992
Practice Address - Fax:931-277-5996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center