CUMBERLAND RIVER HOSPITAL INC (NPI# 1356427462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356427462 |
Entity Type | Organization |
Organization Name | CUMBERLAND RIVER HOSPITAL INC |
Other Organization Name | CUMBERLAND RIVER MEDICAL CLINIC |
Practice Address |
110 Doctors Dr Celina TN 38551-5092 |
Mailing Address |
100 Old Jefferson St Celina TN 38551-4040 |
Practice Telephone | 9312433860 |
Practice Fax Number | 9312434607 |
Mailing Telephone | 9312433860 |
Mailing Fax Number | 9312434607 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2018-03-17 |
Authorized Official Name | PARICIA LYNNE STRONG (CFO) |
Authorized Official Telephone | 9312433581 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 135 | TN | Allopathic & Osteopathic Physicians |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
135 | TN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 01287940 | 05 | |
TN | 1356427462 | 05 | |
TN | 3873320 | 05 | |
TN | BLUE CROSS BLUE SHIELD | 4227265 | 01 |
Other Name | Type Code |
---|---|
Cumberland River Medical Clinic | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
102 Old Jefferson St, Celina, TN 385514040 | 9312433576 | 9312435155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568537348 | Cumberland River Hospital Inc | Emergency Medical Technician, Basic | 100 Old Jefferson St, Celina, TN 38551-4040 | 2006-11-21 |
1558676445 | Cumberland River Hospital Inc | Clinic/Center | 110 Doctors Dr, Celina, TN 38551-4040 | 2010-08-16 |
1609011733 | Cumberland River Hospital Inc | Emergency Medicine | 100 Old Jefferson St, Celina, TN 38551-4040 | 2008-12-03 |
1073687448 | Cumberland River Hospital Inc | Psychiatric Unit | 100 Old Jefferson Street, Celina, TN 38551-4040 | 2006-11-20 |
1801960315 | Cumberland River Hospital Inc | Medicare Defined Swing Bed Unit | 100 Old Jefferson Street, Celina, TN 38551-4040 | 2006-11-17 |
1205900743 | Cumberland River Hospital Inc | Home Health | 100 Old Jefferson Street, Celina, TN 38551-4040 | 2006-11-17 |
Street Address |
110 DOCTORS DR |
City | CELINA |
State | TN |
Zip Code | 38551-5092 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093340622 | Gabriel Pierce | Nurse Practitioner | 110 Doctors Dr, Celina, TN 38551-5092 | 2020-03-04 |
1023540457 | Vicky Dillon | Nurse Practitioner | 110 Doctors Dr, Celina, TN 38551 | 2017-04-03 |
1295121697 | Greda Cherry | Nurse Practitioner | 110 Doctors Dr, Celina, TN 38551-5092 | 2015-04-13 |
1558676445 | Cumberland River Hospital Inc | Clinic/Center | 110 Doctors Dr, Celina, TN 38551-4040 | 2010-08-16 |
1164412474 | Jessie Lee Copeland Jr. | Emergency Medicine | 110 Doctors Dr, Celina, TN 38551 | 2005-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073806154 | Xpress Pharmacy of Clay County | Pharmacy | 651 S. Brown St., Celina, TN 38551 | 2011-05-23 |
1821380684 | Everett Dillard Whitson | Pharmacist | 1000 Gainesboro Hwy, Celina, TN 38551 | 2011-05-11 |
1437384310 | Jean T Donaldson | Dentist | 107 Donaldson Avenue, Celina, TN 38551 | 2009-05-21 |
1487878807 | Tara Ashlock Anderson | Pharmacist | 151 Mcarthur Avenue, Celina, TN 38551 | 2007-04-13 |
1245328947 | Ronnie Raines | Nurse Practitioner | 100 Old Jefferson Street, Celina, TN 38551 | 2006-10-10 |
1184711673 | Roberto S Mauricio | Family Medicine | 102 Old Jefferson St, Celina, TN 38551 | 2006-10-06 |
1063520146 | Donaldson Pharmacy | Pharmacy | 201 Mcarthur Ave., Celina, TN 38551 | 2006-08-28 |
1245601962 | Anitra Ostos | Registered Nurse | 115 Guffey St, Celina, TN 38551 | 2015-10-08 |
1265828750 | Anderson Hometown Pharmacy, LLC | Pharmacy | 151 Mcarthur Avenue, Celina, TN 38551 | 2015-04-10 |
1518272525 | Association of University Radiologists, PC | Nuclear Medicine | 100 Old Jefferson Street, Celina, TN 38551 | 2010-08-13 |
Find all providers in zip 38551 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558676445 | Cumberland River Hospital Inc | Clinic/Center | 110 Doctors Dr, Celina, TN 38551-4040 | 2010-08-16 |
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1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
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1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.