institution
East Tennessee State University
Federally Qualified Health Center (FQHC) in Johnson City, Tennessee
NPI 1477660199

East Tennessee State University is a Federally Qualified Health Center (FQHC) based in Johnson City, TN and is specialized in Federally Qualified Health Center (FQHC). East Tennessee State University practices in Johnson City, TN. The NPI Number for East Tennessee State University is 1477660199 and holds a License No. (Tennessee).

The current practice location address for East Tennessee State University is 2151 Century Lane, Johnson City, TN and can be reached out via phone at 423-926-2500 and via fax at 423-926-5999.

Location: 2151 Century Lane, Johnson City, TN, 37614-1703
institution
Provider Profile Details
NPI Number
1477660199
Provider Name
East Tennessee State University
Credential
Provider Entity Type
Organization
Address
2151 Century Lane, Johnson City, TN, 37614-1703
Phone Number
423-926-2500
Fax Number
423-926-5999
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0441901 05 TN
institution
Provider Business Practice Location Address Details
Address
2151 Century Lane
City
State
Zip
37604
Phone Number
423-926-2500
Fax Number
423-926-5999
person
Provider Business Mailing Address Details
Address
2151 Century Lane
City
State
Zip
37604
Phone Number
423-926-2500
Fax Number
423-926-5999
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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