Upper Cumberland Orthopedic Surgery, Pc

LBN: Upper Cumberland Orthopedic Surgery, Pc
Upper Cumberland Orthopedic Surgery, Pc is an health care organization with primary practice located at 105 S. Willow Ave. , Cookeville TN 38501. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Upper Cumberland Orthopedic Surgery, Pc can be contacted via phone (931) 526-9518, or through Easterly, Paula A via phone (931) 372-7716.

Contact Information

Primary practice address
105 S. Willow Ave. Cookeville TN 38501
Phone: (931) 526-9518
Fax: (931) 372-0087
Website:
Map and Directions
Authorized official contact:
Name: Easterly, Paula A
Phone: (931) 372-7716

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1184610859
LBN Legal business name Upper Cumberland Orthopedic Surgery, Pc
DBA Doing business as
Authorized official Easterly, Paula A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Jan 2nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184610859 NPPES
Kentucky MEDICAID 65942575
Kentucky MEDICAID 3704956

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