Organization
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Active
Parent organization
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
Other names
Boys & Girls Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
Authorized official
ANDREW ROSENDAHL (CHIEF FINANCIAL OFFICER)
(865) 541-8154
Entity
Organization
Contact information
Practice address
1400 DUTCH VALLEY DR, KNOXVILLE, TN 37918-1424
(865) 689-1122
(866) 340-3781
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
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q002932
—
TN
Enumeration date
06/21/2007
Last updated
01/14/2026
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