Organization
STATE OF TENNESSEE
Active
Other names
Cocke County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE F SHARP (REGIONAL ACCOUNTANT)
(865) 549-5266
Entity
Organization
Contact information
Practice address
430 COLLEGE ST, NEWPORT, TN 37821-3752
(423) 623-8733
(423) 623-0874
Mailing address
PO BOX 59019, KNOXVILLE, TN 37950-9019
(423) 623-8733
(423) 623-0874
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522264
—
TN
01
—
1831
BLUECROSS BLUESHIELD TN
TN
Enumeration date
02/02/2007
Last updated
03/28/2011
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