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JOHNSON CITY DOWNTOWN CLINIC DAY CENTER
NPI 1093990608
Clinic/Center - Federally Qualified Health Center (FQHC) in Johnson City, TN

Active since January 02, 2008CLIA 44D0873186 · Microscopy
202 W FAIRVIEW AVE, JOHNSON CITY, TN 37604(423) 434-0894(423) 434-0666 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 22, 2017, Feb 23, 2017 (3 updates tracked since 2017).

About Johnson City Downtown Clinic Day Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNSON CITY DOWNTOWN CLINIC DAY CENTER (NPI 1093990608) is a healthcare organization registered as a federally qualified health center (fqhc) in Johnson City, Tennessee and active in the NPI registry since January 2008. The organization holds a CLIA Microscopy certificate valid through April 18, 2027 and lists Betty J. King, Acting Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1093990608
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST TENNESSEE STATE UNIVERSITY
Location Address202 W FAIRVIEW AVEJohnson City, TN 37604-5611
Mailing Address365 Stout Drive Box 70403Johnson City, TN 37614-1703 · (423) 439-4515 · Fax (423) 439-5780
Phone(423) 434-0894
Fax(423) 434-0666
Organization SubpartNo
Authorized OfficialBetty J. KingActing Chief Financial Officer · (423) 439-4414
Enumeration DateJanuary 2, 2008
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1093990608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
202 W FAIRVIEW AVE, Johnson City, TN 37604
Open in Google Maps ↗

Other Names 1

Doing Business AsJohnson City Downtown Clinic Day Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0873186

East Tennessee State University Dba East Tn State University Johnson City Community Health Center · Johnson City, TN
Active · expires Apr 18, 2027
CLIA Number44D0873186
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorAmanda Moorhouse
Laboratory Phone(423) 929-6932
Laboratory LocationEast Tennessee State University Dba East Tn State University Johnson City Community Health Center2151 Century Lane, Johnson City, TN 37604
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAURA JESSICA TEMPLETON NP-C
Nurse Practitioner (Family)
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-7371
MS. CHRISTINA L DZIOBA FNP, WHNP-BC, C-EFM
Nurse Practitioner (Family)
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-7371
MRS. AMANDA S MOORHOUSE APN
Nurse Practitioner (Family)
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-7371
MS. JANICE LYNN LAZEAR CRNP
Nurse Practitioner
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-4225
JENNIFER LYN WHITEHEAD LMSW
Social Worker
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-7371
MEREDITH MCCOOK PROSAK LCSW
Social Worker (Clinical)
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-7371

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Tennessee State University's NPI number?

The NPI number for East Tennessee State University is 1093990608. It was assigned to this organization in the NPPES registry on January 2, 2008. The provider is doing business as Johnson City Downtown Clinic Day Center.

Where is East Tennessee State University located?

East Tennessee State University is located at 202 W Fairview Ave, Johnson City, TN 37604. The listed phone number is (423) 434-0894.

What is East Tennessee State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does East Tennessee State University hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0873186) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Tennessee State University accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list East Tennessee State University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Tennessee State University was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.