National Provider Identifier Database

EAST TENNESSEE CHILDRENS HOSPITAL PRIMARY CARE CENTER INC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
2221 JACKSBORO PIKE STE C4
LAFOLLETTE, TN37766-3007
Phone: 423-566-3488
Fax: 866-722-3453
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Pediatrics 363LP0200X
Primary Care 261QP2300X

* Indicates primary specialty

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

NPI Number 1366648040
Legal business name
LBN
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Authorized official ANDREW ROSENDAHL - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 06/21/2007
Last updated 01/14/2026 - About 5 months ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: Q002836

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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