Organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC
Active
Other names
East Tennessee Children's Hospital Home Health Care DME
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE S KING (CREDENTIALING MANAGER)
(865) 599-1101
Entity
Organization
Contact information
Practice address
11227 W POINT DR, FARRAGUT, TN 37934-2838
(865) 675-8181
(865) 675-8111
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000461
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447465
—
TN
Enumeration date
10/26/2010
Last updated
08/06/2026
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