East Tennessee Children'S Hospital Pediatric Urology

LBN: East Tennessee Children'S Hospital Association Inc.
East Tennessee Children'S Hospital Pediatric Urology is an health care organization with primary practice located at 2100 Clinch Ave Ste 310 , Knoxville TN 37916-2220. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Urology, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Urology is the primary health care specialty. East Tennessee Children'S Hospital Association Inc. can be contacted via phone (865) 673-9315, or through Hawthorne, Caryn via phone (865) 541-8181.

Contact Information

Primary practice address
2100 Clinch Ave Ste 310 Knoxville TN 37916-2220
Phone: (865) 673-9315
Fax: (877) 850-9131
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 / Pediatric Urology 2088P0231X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1568581387
LBN Legal business name East Tennessee Children'S Hospital Association Inc.
DBA Doing business as East Tennessee Children'S Hospital Pediatric Urology
Authorized official Hawthorne, Caryn
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jun 8th, 2023 - 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 1568581387 NPPES
Tennessee MEDICAID 3735949

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