Organization
COMMUNITY HEALTH OF EAST TENNESSEE, INC
Active
Other names
COMMUNITY HEALTH OF EAST TENNESSEE, INC
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA W DABNEY (CEO)
(423) 562-1705
Entity
Organization
Contact information
Practice address
130 INDEPENDENCE LN, SUITE 1, LA FOLLETTE, TN 37766-3031
(423) 562-1705
(423) 566-3718
Mailing address
130 INDEPENDENCE LN, SUITE 1, LA FOLLETTE, TN 37766-3031
(423) 562-1705
(423) 566-3718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3340196
—
TN
01
—
441877
FQHC MEDICARE #
TN
Enumeration date
08/09/2005
Last updated
04/15/2019
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