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RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC NPI 1669472460


NPI Information

NPI: 1669472460
Provider Name: RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC

Doing Business As: SNEEDVILLE MEDICAL CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 44D0659237

Address:
1861 MAIN ST
SNEEDVILLE, TN
ZIP 37869
Phone: (423) 733-2131
Get Directions

RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC is a federally qualified health center (fqhc) clinic center in Sneedville, TN. RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC NPI is 1669472460. The provider is registered as an organization entity type.
The provider Is Doing Business As Sneedville Medical Center.

The provider's business location address is:

1861 MAIN ST
SNEEDVILLE, TN
ZIP 37869-645
Phone: (423) 733-2131
Fax: (423) 733-1055

The provider's authorized official is Linda W Buck .
The authorized official title is Ceo and has the following contact phone number (423) 272-9163.

The CLIA number assigned to this NPI record is 44D0659237 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/22/2005 and was last updated on 10/10/2008.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
13703865MEDICARE PIN
24448160MEDICAIDTENNESSEE
3008OTHERCHAMPUS PROVIDER
4441852MEDICARE ID-TYPE UNSPECIFIEDFQHC
53703864OTHERCIGNA/MEDICARE
6021135900OTHERBLACKLUNG
74122525OTHERTENNESSEEBLUECROSS BLUESHIELD

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

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