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Organization

RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC

Active
Other names
Hawkins Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDA W BUCK (CEO)
(423) 272-9163
Entity
Organization

Contact information

Practice address
4966 HIGHWAY 11W, ROGERSVILLE, TN 37857-6028
(423) 272-5600
(423) 272-1428
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 272-9163
(423) 921-6920

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007
CHAMPUS PROVIDER
01
029856300
BLACKLUNG
01
3703869
CIGNA/MEDICARE
01
4122525
BLUECROSS BLUESHELD
TN
05
4448147
TN
Enumeration date
07/26/2005
Last updated
10/10/2008
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