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Organization
TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC
Active
Organization
TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH HEINRICH MD (PRESIDENT/OWNER)
(373) 609-1221
Entity
Organization
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G702001
MEDICARE OF TENNESSEE
TN
05
—
Q026873
—
TN
Enumeration date
02/09/2017
Last updated
11/12/2025
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