Johnson City Community Health Center

LBN: East Tennessee State University
Johnson City Community Health Center is an health care organization with primary practice located at 2151 Century Lane , Johnson City TN 37604. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. East Tennessee State University can be contacted via phone (423) 926-2500, or through King, Betty J via phone (423) 439-4414.

Contact Information

Primary practice address
2151 Century Lane Johnson City TN 37604
Phone: (423) 926-2500
Fax: (423) 926-5999
Website:
Map and Directions
Authorized official contact:
Name: King, Betty J
Phone: (423) 439-4414

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1477660199
LBN Legal business name East Tennessee State University
DBA Doing business as Johnson City Community Health Center
Authorized official King, Betty J
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477660199 NPPES
Tennessee MEDICAID 0441901

Popular Providers