East Tennessee Clinic Corp

LBN: East Tennessee Clinic Corp
East Tennessee Clinic Corp is an health care organization with primary practice located at 502 W 7Th North St , Morristown TN 37814-3957. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. East Tennessee Clinic Corp can be contacted via phone (423) 586-1818, or through Peoples, Brian A via phone (615) 465-7585.

Contact Information

Primary practice address
502 W 7Th North St Morristown TN 37814-3957
Phone: (423) 586-1818
Fax: (423) 586-5989
Website:
Map and Directions
Authorized official contact:
Name: Peoples, Brian A
Phone: (615) 465-7585

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1609182484
LBN Legal business name East Tennessee Clinic Corp
DBA Doing business as
Authorized official Peoples, Brian A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2010
Last updated Jul 31st, 2012 - about 13 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 1609182484 NPPES
Tennessee MEDICAID 1521155

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