COMMUNITY HEALTH OF EAST TENNESSEE, INC (NPI# 1407900384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407900384 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH OF EAST TENNESSEE, INC |
| Other Organization Name | REACHS |
| Practice Address |
130 Veterans St Maynardville TN 37807-3420 |
| Mailing Address |
130 Independence Lane Suite 1 Lafollette TN 37766-3400 |
| Practice Telephone | 8659927677 |
| Practice Fax Number | 4235665108 |
| Mailing Telephone | 4235631037 |
| Mailing Fax Number | 4235663718 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | MRS. TERESA DABNEY (BILLING MANAGER) |
| Authorized Official Telephone | 4235631032 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
LSW0000003542 | TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| REACHS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578840138 | Community Health of East Tennessee, Inc | Case Management | 470 Stone Mill Rd, Jacksboro, TN 37757-4007 | 2011-11-10 |
| 1750382164 | Community Health of East Tennessee, Inc | Family Medicine | 130 Independence Ln, Suite 1, La Follette, TN 37766-3031 | 2005-08-09 |
| Street Address |
130 VETERANS ST |
| City | MAYNARDVILLE |
| State | TN |
| Zip Code | 37807-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538207311 | State of Tennessee | Public Health or Welfare | 130 Veterans St, Maynardville, TN 37807-3420 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368815 | Ian Carter Mccormick | Pharmacist | 2710 Maynardville Highway, Maynardville, TN 37807 | 2020-08-25 |
| 1053963975 | Maynardville Drug LLC | Pharmacy | 2975 Maynardville Hwy, Maynardville, TN 37807 | 2019-07-11 |
| 1811014533 | Leah Renee Lewis | Specialist/Technologist | 108 Harmon Drive, Maynardville, TN 37807 | 2007-03-26 |
| 1659497394 | Mohammad Bhidya Md PC | Nurse Practitioner | 2595 Maynardville Hwy, Maynardville, TN 37807 | 2007-03-22 |
| 1053350363 | Thomas J Demaro | Emergency Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2006-06-05 |
| 1881117521 | Kristy Michille Bolt | Registered Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2017-07-25 |
| 1275986333 | Ashley Nicole Russell | Counselor | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2016-07-13 |
| 1134504764 | East Tennessee Physical Therapy,llc | Clinic/Center | 4357 Maynardville Hwy, Maynardville, TN 37807 | 2015-07-24 |
| 1962843409 | Mary Elizabeth Phillips | Social Worker | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2013-07-12 |
| 1447500731 | Julie M Roberts | Pharmacist | 4344 Maynardville Hwy, Maynardville, TN 37807 | 2012-09-13 |
| Find all providers in zip 37807 | ||||
| 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 | ||||
| City | MAYNARDVILLE |
| Zip Code | 37807 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH OF EAST TENNESSEE, INC.
| 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.