Cumberland River Hospital Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

135 Issued in TN

Legal business name

CUMBERLAND RIVER HOSPITAL INC

Doing business as

Cumberland River Medical Clinic

Practice address

110 Doctors Dr
Celina, TN 38551-5092

Phone

(931) 243-3860

Fax

(931) 243-4607

NPI assigned

Oct 31, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paricia Lynne Strong

Title

Cfo

Phone

(931) 243-3581

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Cumberland River Medical Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cookeville Regional Medical Center

  dba CRMC Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Cookeville, TN
  • NPI 1326479742

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1356427462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD JEFFERSON ST",
            "city": "CELINA",
            "state": "TN",
            "postal_code": "385514040",
            "telephone_number": "931-243-3860",
            "fax_number": "931-243-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DOCTORS DR",
            "city": "CELINA",
            "state": "TN",
            "postal_code": "385515092",
            "telephone_number": "931-243-3860",
            "fax_number": "931-243-4607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Old Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "TN",
            "postal_code": "385514040",
            "country_code": "US",
            "telephone_number": "931-243-3576",
            "fax_number": "931-243-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUMBERLAND RIVER HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "PARICIA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "931-243-3581"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": "135",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01287940",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3873320",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4227265",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356427462",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland River Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Mae Copeland, COTA/L
• Jessie Lee Copeland Jr., M.D.
• County of Clay Office of County (Clay County EMS)
• Cumberland River Hospital Inc (Cumberland River Hospital)
• Cumberland River Hospital Inc (Cumberland River HomeCare)
• Cumberland River Hospital Inc (Cumberland River Physician Associates)
• Cumberland River Hospital Inc
• Cumberland River Hospital Inc (Cumberland River Hospital ER)
• Cumberland River Hospital Inc (Cumberland River Hospital)
• Cumberland River Medical Clinic, LLC

• Rural Health Clinic/Center in Celina, TN
• Providers in Celina, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.