| Provider / Organization | NPI | Date Certified |
|---|---|---|
| COOKEVILLE MEDICAL CENTER PC | 1013055912 | 2024-04-07 |
The organization Cookeville Medical Center Pc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1013055912. Registration indicates Cookeville Medical Center Pc is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Clinic/Center Radiology, Ambulatory Health Care Facilities) (Clinic/Center, )
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | |
| 261QR0200X | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Radiology Diagnostics/Imaging/Laboratory/Mammography Clinic/Center Radiology Ambulatory Health Care Facilities Clinic/Center | |
| 193200000X MULT | Group Code |
| 3709492 | MEDICAID | TN |