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Contact Information

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
801 OAK RIDGE TURNPIKE
OAK RIDGE, TN37830-6916
 Phone: 865-482-4088
 Fax: 866-674-2033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Primary Care

261QP2300X
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.

NPI Number 1366647455
LBN Legal business name EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Authorized official ANDREW ROSENDAHL - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/19/2007
Last updated 01/14/2026 - About 5 months ago
Identifiers
TN Medicaid Q002834
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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