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RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC NPI 1649270364


NPI Information

NPI: 1649270364
Provider Name: RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC

Doing Business As: KINGSPORT MEDICAL CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
737 E SEVIER AVE
KINGSPORT, TN
ZIP 37660
Phone: (423) 246-7922
Get Directions

RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC is a federally qualified health center (fqhc) clinic center in Kingsport, TN. RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC NPI is 1649270364. The provider is registered as an organization entity type.
The provider Is Doing Business As Kingsport Medical Center.

The provider's business location address is:

737 E SEVIER AVE
KINGSPORT, TN
ZIP 37660-912
Phone: (423) 246-7922
Fax: (423) 246-4248

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14448223MEDICAIDTENNESSEE
23703862OTHERCIGNA/MEDICARE
34122525OTHERTENNESSEEBLUECROSS BLUESHIELD
4003OTHERCHAMPUS PROVIDER
5023398200OTHERBLACKLUNG
6441862MEDICARE ID-TYPE UNSPECIFIEDFQHC
73703865MEDICARE 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: 11/14/2023

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