East Tennessee Children'S Hospital Pediatric Cardiology

LBN: East Tennessee Children'S Hospital Association Inc.
East Tennessee Children'S Hospital Pediatric Cardiology is an health care organization with primary practice located at 2100 Clinch Avenue, Suite 420 , Knoxville TN 37916-2231. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. East Tennessee Children'S Hospital Association Inc. can be contacted via phone (865) 522-0420, or through Hawthorne, Caryn via phone (865) 541-8181.

Contact Information

Primary practice address
2100 Clinch Avenue, Suite 420 Knoxville TN 37916-2231
Fax: (877) 801-6771
Website:
Authorized official contact:
Name: Hawthorne, Caryn

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1578648820
LBN Legal business name East Tennessee Children'S Hospital Association Inc.
DBA Doing business as East Tennessee Children'S Hospital Pediatric Cardiology
Authorized official Hawthorne, Caryn
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 26th, 2006
Last updated Jun 6th, 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 1578648820 NPPES
Tennessee MEDICAID 3717716

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