Knoxville Pediatric Cardiology-Cleveland

LBN: East Tennessee Children'S Hospital Association, Inc.
Knoxville Pediatric Cardiology-Cleveland is an health care organization with primary practice located at 1060 Peerless Xing Nw Ste 100 , Cleveland TN 37312-3785. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Pediatric Cardiology is the primary health care specialty. East Tennessee Children'S Hospital Association, Inc. can be contacted via phone (865) 522-0420, or through Mason, Mark B via phone (865) 541-8053.

Contact Information

Primary practice address
1060 Peerless Xing Nw Ste 100 Cleveland TN 37312-3785
Phone: (865) 522-0420
Fax: (877) 801-6771
Website:
Map and Directions
Authorized official contact:
Name: Mason, Mark B
Phone: (865) 541-8053

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1609388438
LBN Legal business name East Tennessee Children'S Hospital Association, Inc.
DBA Doing business as Knoxville Pediatric Cardiology-Cleveland
Authorized official Mason, Mark B
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 2nd, 2017
Last updated Apr 7th, 2022 - about 2 years ago

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 1609388438 NPPES
Tennessee MEDICAID Q035981

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