East Tennessee State University in Johnson City - Multi-specialty
East Tennessee State University - NPI 1568570273
East Tennessee State University is a Multi-specialty in Johnson City, Tennessee. East Tennessee State University practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for East Tennessee State University is 1568570273. The last update date is 2017-09-22.
East Tennessee State University's current location address is 365 Stout Drive Box 70403, Johnson City, Tennessee. You can contact this provider via phone number 4234394515 and fax number 4234395780. The mailing address for East Tennessee State University is 365 Stout Drive Box 70403, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Tennessee State University |
|---|---|
| Address | 365 Stout Drive Box 70403, Johnson City, Tennessee |
| Phone Number | 4234394515 |
| Fax Number | 4234395780 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACTING CHI |
|---|---|
| Authorized Official Name | King J Betty |
| Telephone Number | 4234394414 |
NPI Number Detail
| NPI Number | 1568570273 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2017-09-22 |
Provider Mailing Address Detail
| Address | 365 Stout Drive Box 70403 |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376141703 |
| Phone Number | 4234394515 |
| Fax Number | 4234395780 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3709292 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to East Tennessee State University by the Centers for Medicare & Medicaid Services?
The East Tennessee State University has been assigned the NPI (National Provider Identifier) 1568570273. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where East Tennessee State University is located?
The East Tennessee State University is situated at the following address: 365 Stout Drive Box 70403, Johnson City, TN, 376141703.
What is East Tennessee State University's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for East Tennessee State University is Multi-specialty, and the corresponding taxonomy classification code for this specialized field is 261Qm1300X.
On what date did the East Tennessee State University receive the assignment of its 1568570273 from the Centers for Medicare & Medicaid Services?
The East Tennessee State University was issued its 1568570273 by the Centers for Medicare & Medicaid Services on 2006-08-25.
As of what date was the information regarding East Tennessee State University, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to East Tennessee State University, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-09-22.
NPI Number: 1972506228
Address: 2102 Treasure Hills Blvd Ste 3.14406, Harlingen, TX