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Contact Information

RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
229 HIGHWAY 19 E
BLUFF CITY, TN37618-1865
 Phone: 423-538-5116
 Fax: 423-538-3861
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

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

NPI Number 1972503753
LBN Legal business name RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Authorized official WANDA BROWN - (CREDENTIALING ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2005
Last updated 10/10/2008 - About 18 years ago
Identifiers
TN Medicaid 4448150
Other 020845900 BLACK LUNG
Other 3703866 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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