Etsu High Risk Clinic

LBN: East Tennessee State University
Etsu High Risk Clinic is an health care organization with primary practice located at 325 N State Of Franklin Rd (Ground Floor With Pediatrics), Johnson City TN 37604-6062. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist is the primary health care specialty. East Tennessee State University can be contacted via phone (423) 439-4355, or through Collins, David D. via phone (423) 439-5884.

Contact Information

Primary practice address
325 N State Of Franklin Rd (Ground Floor With Pediatrics) Johnson City TN 37604-6062
Phone: (423) 439-4355
Fax: (423) 439-4607
Website:
Map and Directions
Authorized official contact:
Name: Collins, David D.
Phone: (423) 439-5884

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1861666562
LBN Legal business name East Tennessee State University
DBA Doing business as Etsu High Risk Clinic
Authorized official Collins, David D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2008
Last updated Sep 11th, 2008 - about 16 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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