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MOUNTAIN CITY EXTENDED HOURS HEALTH CENTER
NPI 1295779361
Clinic/Center - Rural Health in Mountain City, TN

Active since June 16, 2006
1901 S SHADY STREET, MOUNTAIN CITY, TN 37683(423) 727-1150(423) 727-1152 Get Directions Write a Review

NPPES record last updated: September 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2017, Feb 23, 2017 (2 updates tracked since 2017).

About Mountain City Extended Hours Health Center NPPES

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

MOUNTAIN CITY EXTENDED HOURS HEALTH CENTER (NPI 1295779361) is a healthcare organization registered as a rural health in Mountain City, Tennessee and active in the NPI registry since June 2006. The organization lists Betty J King, Acting Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1295779361
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEAST TENNESSEE STATE UNIVERSITY
Location Address1901 S SHADY STREETMountain City, TN 37683-2601
Mailing AddressPo Box 70403Johnson City, TN 37614-1703 · (423) 439-4515 · Fax (423) 439-5780
Phone(423) 727-1150
Fax(423) 727-1152
Organization SubpartNo
Authorized OfficialBetty J KingActing Chief Financial Officer · (423) 439-4414
Enumeration DateJune 16, 2006
Last NPPES UpdateSeptember 22, 20172 updates tracked since enumeration
✔ NPI 1295779361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1901 S SHADY STREET, Mountain City, TN 37683
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Other Names 1

Doing Business AsMountain City Extended Hours Health Center

Other Identifiers 4

Medicare OSCAR/certification443868TN
Medicare PIN3340251
Medicare UPIN3340251TN
Medicare OSCAR/certification3340251

Other Providers at the Same Location NPPES

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

DEBORAH J HASSEBROCK FNP
Nurse Practitioner (Family)
1901 S SHADY STREET
MOUNTAIN CITY, TN 37683
Johnson County (423) 727-1150

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 1295779361. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Mountain City Extended Hours Health Center.

Where is East Tennessee State University located?

East Tennessee State University is located at 1901 S Shady Street, Mountain City, TN 37683. The listed phone number is (423) 727-1150.

What is East Tennessee State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for East Tennessee State University was last updated on September 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.