East Tennessee Addiction Specialists

LBN: East Tennessee Addiction Specialists
East Tennessee Addiction Specialists is an health care organization with primary practice located at 2036 Chilhowee Medical Park , Maryville TN 37804-5285. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. East Tennessee Addiction Specialists can be contacted via phone (865) 268-4360, or through Stalcup, Clay Eugene via phone (865) 406-2715.

Contact Information

Primary practice address
2036 Chilhowee Medical Park Maryville TN 37804-5285
Phone: (865) 268-4360
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stalcup, Clay Eugene Doctor of Medicine (MD)
Phone: (865) 406-2715

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1770080632
LBN Legal business name East Tennessee Addiction Specialists
DBA Doing business as
Authorized official Stalcup, Clay Eugene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2018
Last updated Jan 23rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770080632 NPPES
Tennessee MEDICAID Q045176

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