MEDICARE: CUMBERLAND MEDICAL CENTER, INC.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	0000000020	TN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	223440009	OTHER	TN	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1000232	OTHER	TN	BLUE CROSS FACILITY
3	026756100	OTHER	TN	BLACK LUNG
4	1000232	OTHER	TN	BLUE CARE TENNCARE FACILI
5	3056996	OTHER	TN	BLUE CARE TNCARE PROFESSI
6	3056996	OTHER	TN	BLUE CROSS PROFESSIONAL

NPI Number	:	1871596403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUMBERLAND MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	421 S MAIN ST
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-5048
Country	:	US
Telephone Number	:	931-484-9511
Fax Number	:	931-707-2737

Provider Business Practice Location Address
First Line	:	421 S MAIN ST
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-5048
Country	:	US
Telephone Number	:	931-484-9511
Fax Number	:	931-707-2737

Authorized Official
Title or Position	:	VP REVENUE CYCLE
Name	:	RICK CARRINGER
Credential	:	CPA
Telephone Number	:	865-374-3002

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	02/20/2025

421 SOUTH MAIN STREET
CROSSVILLE, TN
38555-5048

Practice Phone: 931-456-8390
Practice Fax: 931-456-8389