Organization
EAST TENNESSEE CHILDREN'S PRIMARY CARE CENTER, INC.
Active
Parent organization
EAST TENNESSEE CHILDREN'S PRIMARY CARE CENTER INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TENNESSEE CHILDREN'S PRIMARY CARE CENTER INC.
Authorized official
ANDREW ROSENDAHL (CFO)
(612) 237-4353
Entity
Organization
Contact information
Practice address
2018 CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8000
(865) 633-4808
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
TN
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q038603
—
TN
Enumeration date
05/01/2007
Last updated
07/17/2026
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