| NPI | 1013055912 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-02-02 |
| Last Updated | 2024-06-18 |
| Authorized Official | Pushpendra Jain CEO Phone: 9315288899 |
| Mailing Address | 225 N Willow Ave Cookeville, TN 38501-2335 United States Phone: (931) 528-8899 | Fax: (866) 813-8531 📍 View Map |
| Primary Practice Address | 225 N Willow Ave Cookeville, TN 38501-2335 United States Phone: (931) 528-8899 | Fax: (866) 813-8531 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TN | 3709492 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | — | — |
| No | 261QR0200X – Clinic/Center, Radiology | — | — |
| No | 291U00000X – Clinical Medical Laboratory | — | — |
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About NPI 1013055912
Cookeville Medical Center Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1013055912. The primary specialty listed is Family Medicine. The organization is located in Cookeville, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1013055912?
NPI 1013055912 belongs to Cookeville Medical Center Pc, a Family Medicine in Cookeville, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1013055912 active?
The current status of NPI 1013055912 in the NPPES registry is Active. The record was last updated on 2024-06-18.
What specialty is NPI 1013055912?
NPI 1013055912 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1013055912?
You can verify NPI 1013055912 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1013055912?
The primary practice address on file for NPI 1013055912 is 225 N Willow Ave, Cookeville, TN 38501-2335. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1013055912 issued?
NPI 1013055912 was first issued (enumerated) on 2007-02-02. The NPPES record was last updated on 2024-06-18.
Practice Location Map
Cookeville Medical Center Pc is located at 225 N Willow Ave, Cookeville, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Cookeville Medical Center Pc. All records sourced from the CMS NPPES registry.