institution
Rural Health Services Consortium Of Upper East Tennessee Inc
Federally Qualified Health Center (FQHC) in Roan Mountain, Tennessee
NPI 1568462372

Rural Health Services Consortium Of Upper East Tennessee Inc is a Federally Qualified Health Center (FQHC) based in Rogersville, TN and is specialized in Federally Qualified Health Center (FQHC). Rural Health Services Consortium Of Upper East Tennessee Inc practices in Roan Mountain, TN. The NPI Number for Rural Health Services Consortium Of Upper East Tennessee Inc is 1568462372 and holds a License No. (Tennessee).

The current practice location address for Rural Health Services Consortium Of Upper East Tennessee Inc is 152 Highway 143, Roan Mountain, TN and can be reached out via phone at 423-772-3276 and via fax at 423-772-4816.

Location: 152 Highway 143, Roan Mountain, TN, 37857-0850
institution
Provider Profile Details
NPI Number
1568462372
Provider Name
Rural Health Services Consortium Of Upper East Tennessee Inc
Credential
Provider Entity Type
Organization
Address
152 Highway 143, Roan Mountain, TN, 37857-0850
Phone Number
423-772-3276
Fax Number
423-772-4816
Provider Enumeration Date
07/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4122525 01 TN BLUECROSS BLUESHIELD
005 01 CHAMPUS PROVIDER
020250900 01 BLACKLUNG
4448070 05 TN
institution
Provider Business Practice Location Address Details
Address
152 Highway 143
City
State
Zip
37687-3002
Phone Number
423-772-3276
Fax Number
423-772-4816
person
Provider Business Mailing Address Details
Address
152 Highway 143
City
State
Zip
37687-3002
Phone Number
423-772-3276
Fax Number
423-772-4816
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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