EAST TENNESSEE STATE UNIVERSITY is a federally qualified health center (fqhc) clinic center in Johnson City, TN. EAST TENNESSEE STATE UNIVERSITY NPI is 1093990608. The provider is registered as an organization entity type.
The provider Is Doing Business As Johnson City Downtown Clinic Day Center.
The provider's business location address is:
202 W FAIRVIEW AVE
JOHNSON CITY, TN
ZIP 37604-611
Phone: (423) 434-0894
Fax: (423) 434-0666
The provider's authorized official is Betty J. King .
The authorized official title is Acting Chief Financial Officer and has the following contact phone number (423) 439-4414.
The enumeration date for this NPI number is 1/2/2008 and was last updated on 7/21/2022.