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

NPI #1457557134 in Clinton, Tennessee

Provider Information

NPI Number: 1457557134
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 21, 2007
Last Updated: Jan 14, 2026

Practice Location

Address: 2130 N CHARLES G SEIVERS BLVD STE 4
City: Clinton
State: Tennessee
ZIP Code: 37716-6705
Phone: (865) 457-4044

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
Clinic/Center - Primary Care — Primary Care	261QP2300X
Pediatrics	208000000X	Primary

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