IMPERIAL HEALTHCARE SERVICES NPI 1033410220

NPI Information

  • NPI: 1033410220
  • Provider Name: IMPERIAL HEALTHCARE SERVICES
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1604 LAMONS LN STE 230
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 930-5168

Map and Directions

Get Directions

NPI Details

IMPERIAL HEALTHCARE SERVICES is a primary care clinic center in Johnson City, TN. IMPERIAL HEALTHCARE SERVICES NPI is 1033410220. The provider is registered as an organization entity type.

The provider's business location address is:

1604 LAMONS LN STE 230
JOHNSON CITY, TN
ZIP 37604-224
Phone: (423) 930-5168
Fax: (423) 328-0193

The provider's authorized official is Renee R Buckles .
The authorized official title is Vice President and has the following contact phone number (423) 930-5168.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 11/4/2010.

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
1261QP2300XClinic/CenterPrimary CareMD0000038183TENNESSEEYes

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: 11/21/2025

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.