1477660199 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
BETTY J KING
SENIOR ASSOCIATE VICE PRESIDENT F&A
Phone: (423) 439-4414

Practice Location

Address
2151 CENTURY LANE
JOHNSON CITY, TN 37604
Phone
(423) 926-2500
Fax
(423) 926-5999

Mailing Address

Address
365 STOUT DRIVE, BOX 70403
JOHNSON CITY, TN 376141703
Phone
(423) 439-4515
Fax
(423) 439-5780

Specialties & Taxonomies

Specialty Code Classification License State Primary
Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC)
261QF0400X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
0441901 05 TN N/A

Frequently Asked Questions

What is EAST TENNESSEE STATE UNIVERSITY's NPI number?
EAST TENNESSEE STATE UNIVERSITY's NPI number is 1477660199.
Which doctor has NPI number 1477660199?
The doctor with NPI number 1477660199 is EAST TENNESSEE STATE UNIVERSITY.
What is EAST TENNESSEE STATE UNIVERSITY's practice address?
EAST TENNESSEE STATE UNIVERSITY's practice address is 2151 CENTURY LANE, JOHNSON CITY, TN, 37604.
Which doctor practices at 2151 CENTURY LANE, JOHNSON CITY, TN, 37604?
EAST TENNESSEE STATE UNIVERSITY practices at 2151 CENTURY LANE, JOHNSON CITY, TN, 37604.
What is EAST TENNESSEE STATE UNIVERSITY's mailing address?
EAST TENNESSEE STATE UNIVERSITY's mailing address is 365 STOUT DRIVE, BOX 70403, JOHNSON CITY, TN, 376141703.
What is EAST TENNESSEE STATE UNIVERSITY's phone number?
EAST TENNESSEE STATE UNIVERSITY's phone number is (423) 926-2500.
Who is (423) 926-2500?
(423) 926-2500 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) 926-2500 to inquire about availability.
Is NPI 1477660199 still active?
Yes, NPI 1477660199 is currently active.
Where does EAST TENNESSEE STATE UNIVERSITY practice?
EAST TENNESSEE STATE UNIVERSITY practices in JOHNSON CITY, TN.