Organization
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
Active
Parent organization
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
Other names
Roane County 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
1705 ROANE STATE HWY, HARRIMAN, TN 37748-8306
(865) 316-5001
(865) 376-3713
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
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q074655
—
TN
Enumeration date
06/24/2022
Last updated
01/14/2026
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