RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC (NPI# 1649270364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649270364 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC |
| Other Organization Name | KINGSPORT MEDICAL CENTER |
| Practice Address |
737 E Sevier Ave Kingsport TN 37660-4912 |
| Mailing Address |
Po Box 850 Rogersville TN 37857-0850 |
| Practice Telephone | 4232467922 |
| Practice Fax Number | 4232464248 |
| 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 |
|---|---|---|---|
| CHAMPUS PROVIDER | 003 | 01 | |
| CIGNA/MEDICARE | 3703862 | 01 | |
| TN | BLUECROSS BLUESHIELD | 4122525 | 01 |
| TN | 4448223 | 05 | |
| BLACKLUNG | 023398200 | 01 |
| Other Name | Type Code |
|---|---|
| Kingsport 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 |
| 1396745162 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 1826 N Main Ave, Erwin, TN 37650-8932 | 2005-07-22 |
| Street Address |
737 E SEVIER AVE |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183260 | Amylyn Lane Crawford | Family Medicine | 737 E Sevier Ave, Kingsport, TN 37660-4912 | 2005-06-13 |
| 1972162428 | Matthew David Wood | Nurse Practitioner | 737 E Sevier Ave, Kingsport, TN 37660 | 2019-06-09 |
| 1396203352 | Teryn Mullins | Nurse Practitioner | 737 E Sevier Ave, Kingsport, TN 37660-4912 | 2019-03-08 |
| 1235513508 | Julia Paige Dunn | Nurse Practitioner | 737 E Sevier Ave, Kingsport, TN 37660-4912 | 2015-07-16 |
| 1831581404 | Charles Daniel Harris | Registered Nurse | 737 E Sevier Ave, Kingsport, TN 37660-4912 | 2015-02-19 |
| 1578567004 | Catherine M Raff | Nurse Practitioner | 737 E Sevier Ave, Kingsport, TN 37660-4912 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| 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.