EAST TENNESSEE STATE UNIVERSITY; NPI #1295779361

Contact Information

EAST TENNESSEE STATE UNIVERSITY

1901 S SHADY STREET
MOUNTAIN CITY, TN 37683-2601

Phone: 423-727-1150
Fax: 423-727-1152
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for EAST TENNESSEE STATE UNIVERSITY

NPI #	`1295779361`
LBN Legal business name	EAST TENNESSEE STATE UNIVERSITY
Authorized official	BETTY KING - (ACTING CHIEF FINANCIAL OFFICER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/16/2006
Last updated	09/22/2017 - About 9 years ago
Identifiers	n/a

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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