UPPER CUMBERLAND MEDICAL CLINIC INC. NPI 1003302423

NPI Information

  • NPI: 1003302423
  • Provider Name: UPPER CUMBERLAND MEDICAL CLINIC, INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 319 BROAD ST
    BAXTER, TN
    ZIP 38544
  • Phone: (931) 858-2116

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NPI Details

UPPER CUMBERLAND MEDICAL CLINIC, INC. is a clinic center in Baxter, TN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). UPPER CUMBERLAND MEDICAL CLINIC, INC. NPI is 1003302423. The provider is registered as an organization entity type.

The provider's business location address is:

319 BROAD ST
BAXTER, TN
ZIP 38544-117
Phone: (931) 858-2116
Fax: (931) 858-2117

The provider's authorized official is Jacqueline D Swallows .
The authorized official title is Nurse Practitioner and has the following contact phone number (931) 858-2116.

The enumeration date for this NPI number is 7/9/2018 and was last updated on 7/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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