Student University Health Services
LBN: East Tennessee State University
Student University Health Services is an health care organization with primary practice located at 365 Stout Drive Nicks Hall Rm 160, Johnson City TN 37614-6500. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
East Tennessee State University can be contacted via phone (423) 439-4225, or through King, Betty J via phone (423) 439-4414.
Contact Information
Primary practice address
365 Stout Drive Nicks Hall Rm 160
Johnson City TN 37614-6500
Phone: (423) 439-4225
Fax: (423) 439-4560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X |
Profile Details
| NPI number | 1568570273 |
|---|---|
| LBN Legal business name | East Tennessee State University |
| DBA Doing business as | Student University Health Services |
| Authorized official | King, Betty J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Sep 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568570273 | NPPES |
| Tennessee | MEDICAID | 3709292 |
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