MOUNTAIN CITY EXTENDED HOURS HEALTH CENTER
NPI 1295779361
Clinic/Center - Rural Health in Mountain City, TN
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
Specialties & Licenses
Other Names 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mountain City Extended Hours Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
45Medicare enrollment records show 45 clinicians reassign Medicare billing to Mountain City Extended Hours Health Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 45Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is East Tennessee State University enrolled in Medicare?
Yes. East Tennessee State University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Tennessee State University?
According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 5 Medicare specialties reassign their Medicare billing to East Tennessee State University. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (35), Clinical Social Worker (4) and Family Practice (4). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does East Tennessee State University accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 September 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mountain City Extended Hours Health Center · NPI 1295779361
Rural Health organization in Mountain City, Tennessee. Organization record, active in the CMS NPPES registry since June 16, 2006.
## Identity
- **NPI:** 1295779361 (Entity type: Organization)
- **Enumerated:** June 16, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** East Tennessee State University
- **Organization subpart:** No
- **Authorized official:** Betty King, ACTING CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 1901 S SHADY STREET, Mountain City, TN 37683-2601
- **Phone:** (423) 727-1150 · **Fax:** (423) 727-1152
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 45 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (35), Clinical Social Worker (4), Family Practice (4); 2 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1295779361/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2017
- **Other identifiers:** Medicare OSCAR/certification 443868 (TN); Medicare PIN 3340251; Medicare UPIN 3340251 (TN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1295779361) · Data from the CMS NPPES public registry.