STATE OF TENNESSEE NPI 1184762163

NPI Information

NPI: 1184762163
Provider Name: STATE OF TENNESSEE

Doing Business As: CLAIBORNE COUNTY HEALTH DEPARTMENT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

Address:
620 DAVIS DR
NEW TAZEWELL, TN
ZIP 37825
Phone: (423) 626-4291
Get Directions

STATE OF TENNESSEE is a public health or welfare in New Tazewell, TN. STATE OF TENNESSEE NPI is 1184762163. The provider is registered as an organization entity type.
The provider Is Doing Business As Claiborne County Health Department.

The provider's business location address is:

620 DAVIS DR
NEW TAZEWELL, TN
ZIP 37825-152
Phone: (423) 626-4291
Fax: (423) 626-2525

The provider's authorized official is Marianne F Sharp .
The authorized official title is Regional Accountant and has the following contact phone number (865) 549-5266.

The CLIA number assigned to this NPI record is 44D2159425 - other - jail medical unit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 11/10/2009.

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	251K00000X	Public Health or Welfare				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	3910564	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
2	9428	OTHER	TENNESSEE	BLUECROSS BLUESHIELD TN
3	4447835	MEDICAID	TENNESSEE

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: 4/28/2024

NPI Synchronization or Removal

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