RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC NPI 1154321966

NPI Information

NPI: 1154321966
Provider Name: RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC

Doing Business As: WEST MAIN MEDICAL CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
900 W MAIN ST
ROGERSVILLE, TN
ZIP 37857
Phone: (423) 272-5202
Get Directions

RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC is a federally qualified health center (fqhc) clinic center in Rogersville, TN. RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC NPI is 1154321966. The provider is registered as an organization entity type.
The provider Is Doing Business As West Main Medical Center.

The provider's business location address is:

900 W MAIN ST
ROGERSVILLE, TN
ZIP 37857-448
Phone: (423) 272-5202
Fax: (423) 272-4696

The provider's authorized official is Linda W Buck .
The authorized official title is Ceo and has the following contact phone number (423) 272-9163.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 10/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	031	OTHER		CHAMPUS PROVIDER
2	4122525	OTHER	TENNESSEE	BLUECROSS BLUESHIELD
3	441875	MEDICARE ID-TYPE UNSPECIFIED		FQHC
4	3716673	OTHER		CIGNA/MEDICARE
5	020366000	OTHER		BLACKLUNG
6	4448314	MEDICAID	TENNESSEE
7	3703865	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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