Organization
STATE OF TENNESSEE
Active
Organization
STATE OF TENNESSEE
Active
Other names
East Tenn Regional Office - CSS Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE FANEUIL SHARP (REGIONAL ACCOUNTANT)
(865) 549-5266
Entity
Organization
Contact information
Practice address
1522 CHEROKEE TRL, KNOXVILLE, TN 37920-2205
(865) 549-5284
(865) 594-5344
Mailing address
PO BOX 59019, KNOXVILLE, TN 37950-9019
(865) 549-5284
(865) 594-5344
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194981
BCBS OF TENNESSEE
TN
05
—
444-7851
—
TN
Enumeration date
04/11/2007
Last updated
08/23/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up