Upper Cumberland Otolaryngology Clinic, Pc

LBN: Upper Cumberland Otolaryngology Clinic, Pc
Upper Cumberland Otolaryngology Clinic, Pc is an health care organization with primary practice located at 100 W 4Th St Suite 200, Cookeville TN 38501-2448. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Upper Cumberland Otolaryngology Clinic, Pc can be contacted via phone (931) 528-1575, or through Smith, Cindy D via phone (931) 520-5832.

Contact Information

Primary practice address
100 W 4Th St Suite 200 Cookeville TN 38501-2448
Phone: (931) 528-1575
Fax: (931) 526-2962
Website:
Map and Directions
Authorized official contact:
Name: Smith, Cindy D
Phone: (931) 520-5832

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1598821464
LBN Legal business name Upper Cumberland Otolaryngology Clinic, Pc
DBA Doing business as
Authorized official Smith, Cindy D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 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 1598821464 NPPES
Tennessee Other 2005687 BCBS
Tennessee MEDICAID 3378945 BCBS

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