East Tennessee Children'S Medical Group

LBN: East Tennessee Children'S Hospital Association Inc.
East Tennessee Children'S Medical Group is an health care organization with primary practice located at 2018 Clinch Ave , Knoxville TN 37916-2301. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. East Tennessee Children'S Hospital Association Inc. can be contacted via phone (865) 541-8105, or through Hawthorne, Caryn via phone (865) 541-8181.

Contact Information

Primary practice address
2018 Clinch Ave Knoxville TN 37916-2301
Phone: (865) 541-8105
Fax: (865) 541-8713
Website:
Map and Directions
Authorized official contact:
Name: Hawthorne, Caryn
Phone: (865) 541-8181

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1558080036
LBN Legal business name East Tennessee Children'S Hospital Association Inc.
DBA Doing business as East Tennessee Children'S Medical Group
Authorized official Hawthorne, Caryn
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 26th, 2022
Last updated May 21st, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558080036 NPPES
Tennessee MEDICAID Q076859

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