Northside Elementary School Clinic

LBN: East Tennessee State University
Northside Elementary School Clinic is an health care organization with primary practice located at 1000 N Roan St , Johnson City TN 37601-4616. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. East Tennessee State University can be contacted via phone (423) 434-5249, or through King, Betty J via phone (423) 439-4414.

Contact Information

Primary practice address
1000 N Roan St Johnson City TN 37601-4616
Phone: (423) 434-5249
Fax: (423) 434-5295
Website:
Map and Directions
Authorized official contact:
Name: King, Betty J
Phone: (423) 439-4414

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1275902884
LBN Legal business name East Tennessee State University
DBA Doing business as Northside Elementary School Clinic
Authorized official King, Betty J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2015
Last updated Feb 23rd, 2017 - about 7 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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