Hancock County High School Based Health Center
LBN: East Tennessee State University
Hancock County High School Based Health Center is an health care organization with primary practice located at 2700 Main Street , Sneedville TN 37869-0723. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
East Tennessee State University can be contacted via phone (423) 733-2819, or through Collins, David D. via phone (423) 439-5884.
Contact Information
Primary practice address
2700 Main Street
Sneedville TN 37869-0723
Phone: (423) 733-2819
Fax: (423) 733-8509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X |
Profile Details
| NPI number | 1215045976 |
|---|---|
| LBN Legal business name | East Tennessee State University |
| DBA Doing business as | Hancock County High School Based Health Center |
| Authorized official | Collins, David D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215045976 | NPPES |
| Tennessee | MEDICAID | 3709292 |
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