RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC (NPI# 1396745162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396745162 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC |
| Other Organization Name | DRY CREEK MEDICAL CENTER |
| Practice Address |
1826 N Main Ave Erwin TN 37650-8932 |
| Mailing Address |
Po Box 850 Rogersville TN 37857-0850 |
| Practice Telephone | 4237436135 |
| Practice Fax Number | 4237430035 |
| Mailing Telephone | 4232729163 |
| Mailing Fax Number | 4239216920 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2008-10-10 |
| Authorized Official Name | MRS. LINDA W BUCK (CEO) |
| Authorized Official Telephone | 4232729163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLACKLUNG | 020021000 | 01 | |
| TN | BLUECROSS BLUESHIELD | 4122525 | 01 |
| CHAMPUS PROVIDER | 002 | 01 | |
| TN | 4448096 | 05 | |
| CIGNA MEDICARE | 3703868 | 01 |
| Other Name | Type Code |
|---|---|
| Dry Creek Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679672562 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4966 Highway 11-w, Rogersville, TN 37857-0850 | 2006-09-21 |
| 1861492431 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 300 River Rd, Sneedville, TN 37869-3806 | 2005-07-26 |
| 1154321966 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 900 W Main St, Rogersville, TN 37857-2448 | 2005-07-22 |
| 1629078498 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 580 Van Hill Rd, Greeneville, TN 37745-7608 | 2005-07-22 |
| 1376044552 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 600 Boones Creek Rd, Jonesborough, TN 37659 | 2018-02-23 |
| 1891218160 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 2994 Camp Creek Rd, Camp Creek Medical Center, Greeneville, TN 37743 | 2017-07-19 |
| 1528444825 | Rural Health Services Consortium of Upper East Tennessee Inc | Durable Medical Equipment & Medical Supplies | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2015-08-10 |
| 1346672995 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2013-08-06 |
| 1013917632 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2005-07-26 |
| 1720088537 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 222 Oak St, Mountain City, TN 37683-1526 | 2005-07-22 |
| Street Address |
1826 N MAIN AVE |
| City | ERWIN |
| State | TN |
| Zip Code | 37650-8932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922937 | Phyllis C Fisher | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2005-06-17 |
| 1437638129 | Kimberly Dawn Holtsclaw | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2018-08-13 |
| 1861900805 | Curtis Wayne Gibson | Physician Assistant | 1826 N Main Ave, Erwin, TN 37650 | 2018-01-11 |
| 1881967479 | David Dean Herman | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2012-02-14 |
| 1053619908 | Leah A. Mclin | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2011-03-02 |
| 1881823136 | Robin Lee Harding | Family Medicine | 1826 N Main Ave, Erwin, TN 37650-8932 | 2009-07-08 |
| 1982802526 | Gary L Lloyd | Physician Assistant | 1826 N Main Ave, Erwin, TN 37650-8932 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725706 | Edwards Premier Healthcare LLC | Family Medicine | 1201 North Main Avenue, Erwin, TN 37650 | 2019-11-25 |
| 1235792953 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 110 N. Industrial Drive, Erwin, TN 37650 | 2019-04-18 |
| 1114111622 | Tara Beth Coumoundouros | Pharmacist | 1252 N Main St, Erwin, TN 37650 | 2007-08-29 |
| 1679695779 | David Joe Walters | Chiropractor | 226 Love Street, Erwin, TN 37650 | 2007-04-06 |
| 1437218385 | Deandria Marie Bogart | Registered Nurse | 101okolona Drive, Erwin, TN 37650 | 2006-12-06 |
| 1881768281 | James Alexander Bowden | Emergency Medicine | 2030 Temple Hill Rd, Erwin, TN 37650 | 2006-11-17 |
| 1720161409 | Charlotte Freeman Shores | Case Manager/Care Coordinator | 218 N Main Street, Erwin, TN 37650 | 2006-10-24 |
| 1407940067 | Unicoi County Family Practice | Clinic/Center | 108 Gay Street, Erwin, TN 37650 | 2006-10-03 |
| 1972607653 | Celeste Carol Taylor | Counselor | 218 N Main, Erwin Mh Center, Erwin, TN 37650 | 2006-09-12 |
| 1972607679 | Rita Jean Richardson | Counselor | 218 N Main Ave, Erwin, TN 37650 | 2006-09-12 |
| Find all providers in zip 37650 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525809 | Christ Community Health Services, Inc | Clinic/Center | 4350 Chuck Ave, Memphis, TN 38118-4076 | 2020-07-08 |
| 1730707621 | Christ Community Health Services, Inc. | Clinic/Center | 3206 Poplar Ave, Memphis, TN 38111-3502 | 2020-07-08 |
| 1003442112 | Christ Commuity Health Services Inc | Clinic/Center | 3360 S 3rd St, Memphis, TN 38109-2944 | 2020-03-20 |
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1194245399 | United Neighborhood Health Services, Inc. | Clinic/Center | 442 Metroplex Dr Ste 200, Nashville, TN 37211-3112 | 2017-06-20 |
| 1659745354 | Memphis Health Center, Inc. | Clinic/Center | 4250 Faronia Rd Ste 2a, Memphis, TN 38116-6527 | 2015-11-18 |
| 1639546187 | United Neighborhood Health Services, Inc. | Clinic/Center | 3904 Gallatin Pike, Nashville, TN 37216 | 2015-08-31 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1285999128 | United Neighborhood Health Services, Inc | Clinic/Center | 401 Walton Ln, Nashville, TN 37216-1018 | 2012-07-06 |
| 1891058848 | United Neighborhood Health Services, Inc | Clinic/Center | 1900 Hobson Pike, Antioch, TN 37013-2421 | 2012-06-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.