CROSSVILLE MEDICAL CLINIC RHC
NPI 1780296863
Clinic/Center - Rural Health in Crossville, TN

NPI Status: Active since August 19, 2020

Contact Information

820 N MAIN ST
CROSSVILLE, TN
ZIP 38555
Phone: (931) 250-5230

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 44D0681047
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-02-2026

About CROSSVILLE MEDICAL CLINIC RHC

This page provides the complete NPI Profile along with additional information for Crossville Medical Clinic Rhc, a primary care provider established in Crossville, Tennessee operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1780296863 assigned on August 2020. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Crossville Medical Clinic Rhc. The authorized official of this NPI record is Navin Jain (Cfo)

NPI
1780296863
Provider Legal Name
UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC
Other Organization Name
CROSSVILLE MEDICAL CLINIC RHC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
820 N MAIN ST CROSSVILLE, TN 38555
Location Phone
(931) 250-5230
Mailing Address
225 N WILLOW AVE COOKEVILLE, TN 38501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2020
Last Update Date
06-18-2024
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A primary care provider (PCP) like Crossville Medical Clinic Rhc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus (No Referrals) - EPO
  • UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value (No Referrals) - EPO
  • UHC Gold Advantage (No Referrals) - EPO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus (No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage (No Referrals) - EPO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus (No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • EssentialSmile Tennessee - Total Care - EPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NAVIN JAIN

Authorized Official Title
CFO
Authorized Official Phone
(931) 528-8899

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0681047
Facility Type
Physician Office
Certificate Effective Date
June 03, 2024
Certificate Expiration Date
June 02, 2026
Laboratory Director
ERNEST G. BUCHANAN IV
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Crossville Medical Clinic Rhc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780296863
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271604912812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 4 + 9 + 1 + 2 + 8 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1780296863 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215561238 RONALD BRUNK MSN, APRN, FNP-C
Individual
Nurse Practitioner (Family)820 N MAIN ST
CROSSVILLE, TN 38555
(931) 250-5230
1386447191 ANJALI SUNILKUMAR PATEL FNP-C
Individual
Nurse Practitioner (Family)820 N MAIN ST
CROSSVILLE, TN 38555
(931) 250-5230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780296863, enumerated in the NPI registry as an "organization" on August 19, 2020

The provider is located at 820 N Main St Crossville, Tn 38555 and the phone number is (931) 250-5230

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 44D0681047 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on August 19, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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