HOLSTON VALLEY IMAGING CENTER NPI 1588699144

NPI Information

NPI: 1588699144
Provider Name: HOLSTON VALLEY IMAGING CENTER
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
103 W STONE DR
KINGSPORT, TN
ZIP 37660
Phone: (423) 224-4060
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HOLSTON VALLEY IMAGING CENTER is a radiology clinic center in Kingsport, TN. HOLSTON VALLEY IMAGING CENTER NPI is 1588699144. The provider is registered as an organization entity type.

The provider's business location address is:

103 W STONE DR
KINGSPORT, TN
ZIP 37660-220
Phone: (423) 224-4060

The provider's authorized official is Alice Pope .
The authorized official title is Attorney and has the following contact phone number (423) 224-4000.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/13/2007.

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	261QR0200X	Clinic/Center	Radiology	ODC 24	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	3791370	MEDICAID	TENNESSEE
2	3791370	MEDICARE ID-TYPE UNSPECIFIED	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: 11/14/2023

NPI Synchronization or Removal

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