East Tennessee Children's Hospital Primary Care Center, Inc.

NPI #1265637441 in Vonore, Tennessee

Provider Information

NPI Number: 1265637441
Entity Type: Organization
Organization Name: East Tennessee Children's Hospital Primary Care Center, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
Primary Specialty: Pediatrics
Enumeration Date: Jun 18, 2007
Last Updated: Jan 14, 2026

Practice Location

Address: 125 MOUNTAIN VIEW DRIVE SUITE 200
City: Vonore
State: Tennessee
ZIP Code: 37885-2666
Phone: (423) 884-2170

Authorized Official

Name: ANDREW ROSENDAHL
Title: CHIEF FINANCIAL OFFICER
Phone: (865) 541-8154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Nurse Practitioner - Family — Family	363LF0000X
Clinic/Center - Primary Care — Primary Care	261QP2300X
Pediatrics	208000000X	Primary

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