David Crockett High School Based Health Clinic

LBN: East Tennessee State University
David Crockett High School Based Health Clinic is an health care organization with primary practice located at 684 Old State Route 34 , Jonesborough TN 37659-6094. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. East Tennessee State University can be contacted via phone (423) 753-0057, or through King, Betty J. via phone (423) 439-4414.

Contact Information

Primary practice address
684 Old State Route 34 Jonesborough TN 37659-6094
Phone: (423) 753-0057
Fax: (423) 753-1167
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 / Primary Care 363LP2300X

Profile Details

NPI number 1508091562
LBN Legal business name East Tennessee State University
DBA Doing business as David Crockett High School Based Health Clinic
Authorized official King, Betty J.
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2009
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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