OrganizationCumberland Clinic Pllc(Cumberland Clinic Arnp Group)Nurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1210 W 5th St, London, KY 40741-2112(606) 864-4040PECOS EnrollmentBased on the most recent information from CMS, provider Cumberland Clinic Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1992948848Provider TypeOrganizationFull NameCumberland Clinic PllcOther NameCumberland Clinic Arnp GroupSubpartNoEnumeration Date4/8/2009Last Updated4/8/2009Contact InformationPractice LocationPractice Address1210 W 5th St, London, KY 40741-2112Phone(606) 864-4040Fax(606) 864-3500Mailing LocationMailing AddressPO Box 1300, London, KY 40743-1300Phone(606) 864-4040Fax(606) 864-3500Authorized OfficialNameChatterjee, Satyabrata (Managing Member)Phone(606) 864-4040Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense4829PKentucky