APPALACHIAN HEALTH CARE INC NPI 1558728931

NPI Information

NPI: 1558728931
Provider Name: APPALACHIAN HEALTH CARE, INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1009 LARK ST
SUITE 1A
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 282-2516
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APPALACHIAN HEALTH CARE, INC is a family nurse practitioner in Johnson City, TN. APPALACHIAN HEALTH CARE, INC NPI is 1558728931. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1009 LARK ST
SUITE 1A
JOHNSON CITY, TN
ZIP 37604-217
Phone: (423) 282-2516
Fax: (423) 282-3743

The provider's authorized official is William Donald Clever .
The authorized official title is Family Nurse Practioner and has the following contact phone number (423) 282-2516.

The enumeration date for this NPI number is 1/15/2016 and was last updated on 1/15/2016.

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	363LF0000X	Nurse Practitioner	Family	8014	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	P67421	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

NPI Synchronization or Removal

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