Tri-State Cardiology

LBN: Tri-State Cardiology
Tri-State Cardiology is an health care organization with primary practice located at 2408 Susannah St Ste.1, Johnson City TN 37601-1728. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Tri-State Cardiology can be contacted via phone (423) 282-5054, or through Sexton, Kelly A via phone (423) 282-5054.

Contact Information

Primary practice address
2408 Susannah St Ste.1 Johnson City TN 37601-1728
Fax: (423) 262-0220
Website:
Authorized official contact:
Name: Sexton, Kelly A

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1962429647
LBN Legal business name Tri-State Cardiology
DBA Doing business as
Authorized official Sexton, Kelly A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962429647 NPPES
Tennessee Other 4058472 BCBS

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