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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAST TENNESSEE STATE UNIVERSITY

Active Organization

EAST TENNESSEE STATE UNIVERSITY is a Federally Qualified Health Center organization located in JOHNSON CITY, Tennessee. NPI 1093990608 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · JOHNSON CITY, TN

Registration Details

NPI Number
1093990608
Provider Type
Organization
NPI Issued
Jan 2, 2008 (18.661781861245 yrs)
Last Updated
Jul 21, 2022

Practice Information

Address
202 W FAIRVIEW AVE
JOHNSON CITY, TN, 376045611
Browse TN providers · Browse ZIP 37604
Phone
4234340894
Fax
4234340666
Primary Specialty
Federally Qualified Health Center
261QF0400X

Other Federally Qualified Health Center Organizations in JOHNSON CITY, TN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.