# SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548708936
- **Authorized official:** CHELSEA FAUCHER (REGISTERED NURSE- PUBLIC HEALTH)
- **Authorized official phone:** (423) 279-2777

## Contact information

- **Practice address:** 1041 E SULLIVAN ST, KINGSPORT, TN 37660-5242
- **Practice address phone:** (423) 279-2777
- **Practice address fax:** (423) 224-1640
- **Mailing address:** 1041 E SULLIVAN ST, KINGSPORT, TN 37660-5242
- **Mailing address phone:** (423) 279-2777
- **Mailing address fax:** (423) 224-1640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | 206764 | TN | Yes |

## Other

- **Enumeration date:** 02/06/2017
- **Last updated:** 02/16/2017