# THOMPSON CANCER SURVIVAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COVENANT HEALTH
- **Other names:** Radiation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639113061
- **Legal business name:** COVENANT HEALTH
- **Authorized official:** MRS. MITZI ANDERSON (VICE PRESIDENT, CFO)
- **Authorized official phone:** (865) 541-1485

## Contact information

- **Practice address:** 1915 WHITE AVE, KNOXVILLE, TN 37916-2300
- **Practice address phone:** (865) 541-1485
- **Practice address fax:** (865) 541-2564
- **Mailing address:** 1915 WHITE AVE, KNOXVILLE, TN 37916-2300
- **Mailing address phone:** (865) 541-1485
- **Mailing address fax:** (865) 541-2564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | 00000171 | TN | Yes |
| 261QX0203X | Radiation Oncology Clinic/Center | 00000196 | TN | — |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 10/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 103G706246 | PTAN | TN |
| 05 | — | 103G706246 | — | TN |