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Contact Information

EAST TENNESSEE HEALTH CARE INC
465 ISBILL RD
MADISONVILLE, TN37354
 Phone: 423-442-3990
 Fax: 423-442-4465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for EAST TENNESSEE HEALTH CARE INC

NPI Number 1306801907
LBN Legal business name EAST TENNESSEE HEALTH CARE INC
Authorized official ROBIN BRADLEY - (SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/18/2006
Last updated 08/30/2018 - About 8 years ago
Identifiers
TN License # 0000000186
TN Medicaid 744-0417
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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