1215045976 EAST TENNESSEE STATE UNIVERSITY

Federally Qualified Health Center (FQHC)

Active

Basic Information

Organization Name
EAST TENNESSEE STATE UNIVERSITY
Enumeration Date
August 25, 2006
Last Update
July 21, 2022
Authorized Official
DAVID D. COLLINS
CFO, VP FINANCE & ADMINISTRATION
Phone: (423) 439-5884

Practice Location

Address
2700 MAIN STREET
SNEEDVILLE, TN 378690723
Phone
(423) 733-2819
Fax
(423) 733-8509

Mailing Address

Address
PO BOX 70403
JOHNSON CITY, TN 376141703
Phone
(423) 439-4078
Fax
(423) 439-4060

Specialties & Taxonomies

Specialty Code Classification License State Primary
Primary Care Nurse Practitioner
Primary Care
363LP2300X Nurse Practitioner N/A N/A No
Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC)
261QF0400X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
3709292 05 TN N/A

Frequently Asked Questions

What is EAST TENNESSEE STATE UNIVERSITY's NPI number?
EAST TENNESSEE STATE UNIVERSITY's NPI number is 1215045976.
Which doctor has NPI number 1215045976?
The doctor with NPI number 1215045976 is EAST TENNESSEE STATE UNIVERSITY.
What is EAST TENNESSEE STATE UNIVERSITY's practice address?
EAST TENNESSEE STATE UNIVERSITY's practice address is 2700 MAIN STREET, SNEEDVILLE, TN, 378690723.
Which doctor practices at 2700 MAIN STREET, SNEEDVILLE, TN, 378690723?
EAST TENNESSEE STATE UNIVERSITY practices at 2700 MAIN STREET, SNEEDVILLE, TN, 378690723.
What is EAST TENNESSEE STATE UNIVERSITY's mailing address?
EAST TENNESSEE STATE UNIVERSITY's mailing address is PO BOX 70403, JOHNSON CITY, TN, 376141703.
What is EAST TENNESSEE STATE UNIVERSITY's phone number?
EAST TENNESSEE STATE UNIVERSITY's phone number is (423) 733-2819.
Who is (423) 733-2819?
(423) 733-2819 is the phone number for EAST TENNESSEE STATE UNIVERSITY.
What is EAST TENNESSEE STATE UNIVERSITY's specialty?
EAST TENNESSEE STATE UNIVERSITY's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is EAST TENNESSEE STATE UNIVERSITY?
EAST TENNESSEE STATE UNIVERSITY is a Federally Qualified Health Center (FQHC).
Is EAST TENNESSEE STATE UNIVERSITY a Federally Qualified Health Center (FQHC)?
Yes, EAST TENNESSEE STATE UNIVERSITY is a Federally Qualified Health Center (FQHC).
Is EAST TENNESSEE STATE UNIVERSITY still practicing?
Yes, EAST TENNESSEE STATE UNIVERSITY is currently practicing.
Is EAST TENNESSEE STATE UNIVERSITY accepting new patients?
EAST TENNESSEE STATE UNIVERSITY may be accepting new patients. Please call their office at (423) 733-2819 to inquire about availability.
Is NPI 1215045976 still active?
Yes, NPI 1215045976 is currently active.
Where does EAST TENNESSEE STATE UNIVERSITY practice?
EAST TENNESSEE STATE UNIVERSITY practices in SNEEDVILLE, TN.