DAYSPRING HEALTH INC NPI 1023022084

NPI Information

NPI: 1023022084
Provider Name: DAYSPRING HEALTH INC

Doing Business As: DAYSPRING JELLICO

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
550 SUNSET TRL
JELLICO, TN
ZIP 37762
Phone: (423) 784-5771
Get Directions

DAYSPRING HEALTH INC is a federally qualified health center (fqhc) clinic center in Jellico, TN. DAYSPRING HEALTH INC NPI is 1023022084. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dayspring Jellico.

The provider's business location address is:

550 SUNSET TRL
JELLICO, TN
ZIP 37762
Phone: (423) 784-5771
Fax: (423) 784-6185

The provider's authorized official is Geogy Thomas .
The authorized official title is Ceo and has the following contact phone number (423) 784-8492.

The CLIA number assigned to this NPI record is 44D0311448 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/27/2006 and was last updated on 3/10/2022.

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	363A00000X	Physician Assistant				No
2	363L00000X	Nurse Practitioner				No
3	207Q00000X	Family Medicine				No
4	207V00000X	Obstetrics & Gynecology		43450	TENNESSEE	No
5	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	441853	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	204123	OTHER	TENNESSEE	BLACK LUNG
2	0980730	OTHER	TENNESSEE	UMWA
3	65903650	MEDICAID	KENTUCKY
4	4447931	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »