SOUTHEAST TENNESSEE HEALTH CLINIC, LLC
NPI 1154048072
Clinic/Center - Primary Care in Knoxville, TN
About Southeast Tennessee Health Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST TENNESSEE HEALTH CLINIC, LLC (NPI 1154048072) is a healthcare organization registered as a primary care in Knoxville, Tennessee and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Chattanooga and lists Welton Wayne Wilson, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Southeast Tennessee Health Clinic, LLC's NPI number?
The NPI number for Southeast Tennessee Health Clinic, LLC is 1154048072. It was assigned to this organization in the NPPES registry on October 21, 2022.
Where is Southeast Tennessee Health Clinic, LLC located?
Southeast Tennessee Health Clinic, LLC is located at 11039 Parkside Dr, Knoxville, TN 37934. The listed phone number is (281) 429-8526.
What is Southeast Tennessee Health Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for Southeast Tennessee Health Clinic, LLC was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southeast Tennessee Health Clinic, Llc · NPI 1154048072
Primary Care organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since October 21, 2022.
## Identity
- **NPI:** 1154048072 (Entity type: Organization)
- **Enumerated:** October 21, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Welton Wilson, MANAGER
## Practice location
- **Address:** 11039 PARKSIDE DR, Knoxville, TN 37934-1953
- **Phone:** (281) 429-8526
## Record status
- **NPPES last updated:** November 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1154048072) · Data from the CMS NPPES public registry.