Rural Health Services Consortium of Upper East Tennessee INC

NPI #1972503753 in Bluff City, Tennessee

Provider Information

NPI Number: 1972503753
Entity Type: Organization
Organization Name: Rural Health Services Consortium of Upper East Tennessee INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jul 22, 2005
Last Updated: Oct 10, 2008

Practice Location

Address: 229 HIGHWAY 19 E
City: Bluff City
State: Tennessee
ZIP Code: 37618-1865
Phone: (423) 538-5116

Authorized Official

Name: MRS. WANDA BROWN
Title: CREDENTIALING ADMINISTRATOR
Phone: (423) 272-9163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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