Endoscopy Center Of Northeast Tennessee, Pc
LBN: Endoscopy Center Of Northeast Tennessee, Pc
Endoscopy Center Of Northeast Tennessee, Pc is an health care organization with primary practice located at 310 N State Of Franklin Rd Suite 202, Johnson City TN 37604-6008. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Endoscopy Center Of Northeast Tennessee, Pc can be contacted via phone (423) 929-7111, or through Rutledge, Penny B via phone (423) 929-7111.
Contact Information
Primary practice address
310 N State Of Franklin Rd Suite 202
Johnson City TN 37604-6008
Phone: (423) 929-7111
Fax: (423) 929-9448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 0000000056 | Tennessee |
Profile Details
| NPI number | 1164488219 |
|---|---|
| LBN Legal business name | Endoscopy Center Of Northeast Tennessee, Pc |
| DBA Doing business as | |
| Authorized official | Rutledge, Penny B FACMPE, MPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1164488219 | NPPES |
| Tennessee | MEDICAID | 3287479 |
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