Organization · Type 2 NPI

East Tennessee State University

Federally Qualified Health Center (FQHC) · Sneedville, TN

NPI number 1215045976 Active

Practice location

2700 Main Street
Sneedville, TN 37869-0723

Call (423) 733-2819 Map

Fax (423) 733-8509

Mailing address

PO Box 70403
Johnson City, TN 37614-1703

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Primary Care Nurse Practitioner	363LP2300X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Melinda Fleenor, FNPFamily Nurse Practitioner Sneedville, TN NPI 1215225073

Other federally qualified health center (fqhc) providers in Sneedville

See all in Sneedville →

NPI record

NPI: 1215045976
Entity type: Organization (Type 2)
Issued: Aug 25, 2006
Last updated: Jul 21, 2022
Status: Active

Other names

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Hancock County High School Based Health Center · doing business as

Authorized official

David D. Collins
CFO, VP Finance & Administration
(423) 439-5884

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215045976

East Tennessee State University's National Provider Identifier is 1215045976, issued on Aug 25, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sneedville, TN. The record was last updated on Jul 21, 2022.