RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC; NPI #1396745162

Contact Information

RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC

1826 N MAIN AVE
ERWIN, TN 37650-8932

Phone: 423-743-6135
Fax: 423-743-0035
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC

NPI Number 1396745162

LBN Legal business name RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC

Authorized official LINDA BUCK - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/22/2005

Last updated 10/10/2008 - About 18 years ago

Identifiers

TN	Medicaid	4448096
	Other	020021000	BLACKLUNG
	Other	002	CHAMPUS PROVIDER
	Other	3703868	CIGNA MEDICARE
TN	Other	4122525	BLUECROSS BLUESHIELD

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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