Organization
RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Active
Other names
Bulls Gap Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA W BUCK (CEO)
(423) 272-9163
Entity
Organization
Contact information
Practice address
260 HIGHWAY 11 E, BULLS GAP, TN 37711-3416
(423) 235-4191
(423) 235-7092
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
01
—
006
CHAMPUS PROVIDER
—
01
—
3703863
CIGNA/MEDICARE
—
01
—
4122525
BLUECROSS BLUESHIELD
TN
05
—
4448148
—
TN
Enumeration date
07/22/2005
Last updated
10/10/2008
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