KINGSPORT BRONCHOSCOPY CENTER INC. NPI 1306898416

NPI Information

NPI: 1306898416
Provider Name: KINGSPORT BRONCHOSCOPY CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
111 W STONE DR
SUITE 100
KINGSPORT, TN
ZIP 37660
Phone: (423) 247-5197
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KINGSPORT BRONCHOSCOPY CENTER, INC. is an ambulatory surgical clinic center in Kingsport, TN. KINGSPORT BRONCHOSCOPY CENTER, INC. NPI is 1306898416. The provider is registered as an organization entity type.

The provider's business location address is:

111 W STONE DR
SUITE 100
KINGSPORT, TN
ZIP 37660-027
Phone: (423) 247-5197
Fax: (423) 247-5254

The provider's authorized official is Shirley Hawkins .
The authorized official title is Administrator and has the following contact phone number (423) 247-5197.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 2/28/2008.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	0000000054	TENNESSEE	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	3287305	MEDICAID	TENNESSEE
2	3287305	MEDICARE PIN	TENNESSEE
3	1000908	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD

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: 11/14/2023

NPI Synchronization or Removal

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