Knoxville Pediatric Cardiology -Morristown

LBN: East Tennessee Children'S Hospital Association Inc.
Knoxville Pediatric Cardiology -Morristown is an health care organization with primary practice located at 1817 W Morris Blvd , Morristown TN 37813-2837. 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 Mason, Mark B via phone (865) 541-8053.

Contact Information

Primary practice address
1817 W Morris Blvd Morristown TN 37813-2837
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 / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1679126056
LBN Legal business name East Tennessee Children'S Hospital Association Inc.
DBA Doing business as Knoxville Pediatric Cardiology -Morristown
Authorized official Mason, Mark B
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 24th, 2019
Last updated Nov 16th, 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 1679126056 NPPES
Tennessee MEDICAID Q050605

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