East Tennessee Children'S Hospital Pediatric Genetics

LBN: East Tennessee Children'S Hospital Association Inc.
East Tennessee Children'S Hospital Pediatric Genetics is an health care organization with primary practice located at 2018 Clinch Avenue South Tower 2Nd Floor , Knoxville TN 37916-2301. The organization recently has 6 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Other Service Providers / Genetic Counselor, MS, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics is the primary health care specialty. East Tennessee Children'S Hospital Association Inc. can be contacted via phone (865) 525-1425, or through Hawthorne, Caryn via phone (865) 541-8181.

Contact Information

Primary practice address
2018 Clinch Avenue South Tower 2Nd Floor Knoxville TN 37916-2301
Phone: (865) 525-1425
Fax: (877) 935-4221
Website:
Map and Directions
Authorized official contact:
Name: Hawthorne, Caryn
Phone: (865) 541-8181

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X
Other Service Providers / Genetic Counselor, MS 170300000X
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X
Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics 207SG0202X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1477941375
LBN Legal business name East Tennessee Children'S Hospital Association Inc.
DBA Doing business as East Tennessee Children'S Hospital Pediatric Genetics
Authorized official Hawthorne, Caryn
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 30th, 2014
Last updated Jun 7th, 2023 - about 2 years ago

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 1477941375 NPPES
Tennessee MEDICAID Q020703

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