COOKEVILLE MEDICAL CLINIC GAINESBORO RHC
NPI 1891007431
Clinic/Center - Rural Health in Gainesboro, TN

Q: What is Upper Cumberland Rural Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since July 12, 2010CLIA 44D1001507 · Waiver

402 E GORE AVE, GAINESBORO, TN 38562(931) 268-6899(931) 858-8650 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cookeville Medical Clinic Gainesboro Rhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOKEVILLE MEDICAL CLINIC GAINESBORO RHC (NPI 1891007431) is a healthcare organization registered as a rural health in Gainesboro, Tennessee and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Pushpendra Jain, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891007431

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameUPPER CUMBERLAND RURAL HEALTH CLINIC PLLC

Location Address402 E GORE AVEGainesboro, TN 38562-9367

Mailing Address225 N Willow AveCookeville, TN 38501-2335 · (931) 528-8899 · Fax (931) 284-4085

Phone(931) 268-6899

Fax(931) 858-8650

Organization SubpartNo

Authorized OfficialPushpendra JainCeo · (931) 528-8899

Enumeration DateJuly 12, 2010

Last NPPES UpdateNovember 9, 2022

NPPES CertifiedNovember 9, 2022

✔ NPI 1891007431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in TN · 448904

Also ListedFamily MedicineTaxonomy 207Q00000X

402 E GORE AVE, Gainesboro, TN 38562

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Other Names 1

Doing Business AsCookeville Medical Clinic Gainesboro Rhc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1001507

Upper Cumberland Rural Health Clinic, PLLC Dba Gainesboro Medical Clinic · Gainesboro, TN

Active · expires Jan 14, 2027

CLIA Number44D1001507

Laboratory TypePhysician Office

Certificate Effective DateJanuary 15, 2025

Certificate Expiration DateJanuary 14, 2027

Laboratory DirectorDr. Pushpendra K. Jain

Laboratory Phone(931) 268-6899

Laboratory LocationUpper Cumberland Rural Health Clinic, PLLC Dba Gainesboro Medical Clinic402 East Gore Street, Gainesboro, TN 38562

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upper Cumberland Rural Health Clinic PLLC's NPI number?

The NPI number for Upper Cumberland Rural Health Clinic PLLC is 1891007431. It was assigned to this organization in the NPPES registry on July 12, 2010. The provider is doing business as Cookeville Medical Clinic Gainesboro Rhc.

Where is Upper Cumberland Rural Health Clinic PLLC located?

Upper Cumberland Rural Health Clinic PLLC is located at 402 E Gore Ave, Gainesboro, TN 38562. The listed phone number is (931) 268-6899.

What is Upper Cumberland Rural Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Upper Cumberland Rural Health Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1001507) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Upper Cumberland Rural Health Clinic PLLC was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.