East Tennessee State University
East Tennessee State University is a Federally Qualified Health Center (FQHC) in Johnson City, Tennessee. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
202 W Fairview AveJohnson City, TN 37604-5611
Phone: (423) 434-0894
Fax: (423) 434-0666
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1093990608 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Betty King — Acting Chief Financial Officer · (423) 439-4414 |
| Other names | Johnson City Downtown Clinic Day Center |
| NPI enumerated | January 2, 2008 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 365 Stout Drive Box 70403, Johnson City, TN 37614-1703 |
Other providers in Johnson City
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East Tennessee State University
2151 Century Ln, Johnson City, TN 37604 · (423) 926-2500
-
East Tennessee State University
1134-1136 E Main St, Johnson City, TN 37601 · (423) 722-0808