Northeast Tn Public Health

LBN: Northeast Tn Public Health
Northeast Tn Public Health is an health care organization with primary practice located at 1233 Southwest Ave Ext , Johnson City TN 37604. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Northeast Tn Public Health can be contacted via phone (423) 979-3200, or through Vestal, Rebecca B via phone (423) 979-3200.

Contact Information

Primary practice address
1233 Southwest Ave Ext Johnson City TN 37604
Phone: (423) 979-3200
Fax: (423) 979-3267
Website:
Map and Directions
Authorized official contact:
Name: Vestal, Rebecca B Doctor of Dental Surgery (DDS)
Phone: (423) 979-3200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1013991686
LBN Legal business name Northeast Tn Public Health
DBA Doing business as
Authorized official Vestal, Rebecca B Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1013991686 NPPES
Tennessee MEDICAID 3209286

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