Organization · Type 2 NPI
East Tennessee State University
Rural Health Clinic/Center · Mountain City, TN
NPI number
1295779361
Active
Practice location
1901 S Shady Street
Mountain City, TN 37683-2601
Fax (423) 727-1152
Mailing address
PO Box 70403
Johnson City, TN 37614-1703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
Other rural health clinic/center providers in Mountain City
About NPI 1295779361
East Tennessee State University's National Provider Identifier is 1295779361, issued on Jun 16, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Mountain City, TN. The record was last updated on Sep 22, 2017.