Provider Demographics
NPI:1871596403
Name:CUMBERLAND MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:CUMBERLAND MEDICAL CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:865-374-3002
Mailing Address - Street 1:421 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-5048
Mailing Address - Country:US
Mailing Address - Phone:931-484-9511
Mailing Address - Fax:931-707-2737
Practice Address - Street 1:421 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-5048
Practice Address - Country:US
Practice Address - Phone:931-484-9511
Practice Address - Fax:931-707-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000020282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0440009Medicaid
TN1000232OtherBLUE CROSS FACILITY
TN026756100OtherBLACK LUNG
TN1000232OtherBLUE CARE TENNCARE FACILI
TN3056996OtherBLUE CARE TNCARE PROFESSI
TN3056996OtherBLUE CROSS PROFESSIONAL
TN223440009OtherRAILROAD MEDICARE
TN=========OtherTAX ID NUMBER
TN1000232OtherBLUE CARE TENNCARE FACILI
TN223440009OtherRAILROAD MEDICARE