Organization
RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA W BUCK (PRESIDENT/CEO)
(423) 272-9163
Entity
Organization
Contact information
Practice address
4966 HIGHWAY 11-W, ROGERSVILLE, TN 37857-0850
(423) 272-9163
(423) 921-6920
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
05
—
3703865
—
TN
01
—
CI2519
RAILROAD MEDICARE
—
Enumeration date
09/21/2006
Last updated
05/19/2023
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