SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT NPI 1548708936

NPI Information

NPI: 1548708936
Provider Name: SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT
Classification: Registered Nurse - 163WC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1041 E SULLIVAN ST
KINGSPORT, TN
ZIP 37660
Phone: (423) 279-2777
Get Directions

SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT is a community health registered nurse in Kingsport, TN. SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT NPI is 1548708936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1041 E SULLIVAN ST
KINGSPORT, TN
ZIP 37660-242
Phone: (423) 279-2777
Fax: (423) 224-1640

The provider's authorized official is Chelsea Faucher .
The authorized official title is Registered Nurse- Public Health and has the following contact phone number (423) 279-2777.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 2/16/2017.

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	163WC1500X	Registered Nurse	Community Health	206764	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	3911774	OTHER		MEDICARE
2	B58933	OTHER	TENNESSEE	UPIN
3	=========	MEDICARE PIN	TENNESSEE
4	=========	MEDICAID	TENNESSEE
5	=========	MEDICARE UPIN	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: 4/28/2024

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