NPIMap

Cumberland River Medical Clinic, LLC

Organization Active NPI Rural Health Clinic/Center · Celina, TN

NPI 1821860271 · NPPES record last updated Oct 31, 2023

Key facts

NPI
1821860271
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
CUMBERLAND RIVER MEDICAL CLINIC, LLC
Practice address
100 Old Jefferson St
Celina, TN 38551-4040
Phone
(931) 243-3576
Fax
(931) 243-5155
NPI assigned
Oct 27, 2023
Organization subpart
No

Authorized official

Name
Tamara Eroh
Title
Credentialing MGR
Phone
(931) 200-2246

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2294172Cumberland River Medical Clinic LLC
100 Old Jefferson Street, Celina, TN 38551		Certificate of waiverNov 19, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

100 Old Jefferson St
Celina, TN 38551-4040

Mailing address

PO Box 2801
Crossville, TN 38557-2801

Other providers in Celina, TN

All providers in Celina, TN · Rural Health Clinic/Center in Tennessee

Sources for this page

Verify at the official NPI Registry.