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DRY CREEK MEDICAL CENTER
NPI 1396745162
Clinic/Center - Federally Qualified Health Center (FQHC) in Erwin, TN

Active since July 22, 2005CLIA 44D0310945 · Waiver
1826 N MAIN AVE, ERWIN, TN 37650(423) 743-6135(423) 743-0035 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dry Creek Medical Center NPPES

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

DRY CREEK MEDICAL CENTER (NPI 1396745162) is a healthcare organization registered as a federally qualified health center (fqhc) in Erwin, Tennessee and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Linda W Buck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396745162
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Location Address1826 N MAIN AVEErwin, TN 37650-8932
Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 272-9163 · Fax (423) 921-6920
Phone(423) 743-6135
Fax(423) 743-0035
Organization SubpartNo
Authorized OfficialLinda W BuckCeo · (423) 272-9163
Enumeration DateJuly 22, 2005
Last NPPES UpdateOctober 10, 2008
✔ NPI 1396745162 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
1826 N MAIN AVE, Erwin, TN 37650
Open in Google Maps ↗

Other Names 1

Doing Business AsDry Creek Medical Center

Other Identifiers 7

Other4122525TN · Bluecross Blueshield
Medicare PIN3703865
Other002Champus Provider
Other020021000Blacklung
Other3703868Cigna Medicare
Medicare ID-Type Unspecified441813
Medicaid4448096TN

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 of Waiver 44D0310945

Dry Creek Medical Center · Erwin, TN
Active · expires Jul 6, 2028
CLIA Number44D0310945
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorDr. Jose P. Velasco
Laboratory Phone(423) 743-6135
Laboratory LocationDry Creek Medical Center1826 North Main Avenue, Erwin, TN 37650
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

ERIC NATHAN CARTER FNP-BC
Nurse Practitioner (Family)
1826 N MAIN AVE
ERWIN, TN 37650
Unicoi County (423) 743-6135
MRS. PHYLLIS C FISHER FNP
Nurse Practitioner (Family)
1826 N MAIN AVE
ERWIN, TN 37650
Unicoi County (423) 743-6135
KIMBERLY DAWN HOLTSCLAW FNP
Nurse Practitioner (Family)
1826 N MAIN AVE
ERWIN, TN 37650
Unicoi County (423) 743-6135
MRS. JEWEL RENEA DAVIS
Nurse Practitioner (Family)
1826 N MAIN AVE
ERWIN, TN 37650
Unicoi County (423) 743-6135
CURTIS WAYNE GIBSON PA-C
Physician Assistant
1826 N MAIN AVE
ERWIN, TN 37650
Unicoi County (423) 743-6135
DAVID DEAN HERMAN FNP
Nurse Practitioner (Family)
1826 N MAIN AVE
ERWIN, TN 37650
Unicoi County (423) 743-6135
GARY L LLOYD PA-C
Physician Assistant
1826 N MAIN AVE
ERWIN, TN 37650
Unicoi County (423) 743-6135

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 Rural Health Services Consortium Of Upper East Tennessee Inc's NPI number?

The NPI number for Rural Health Services Consortium Of Upper East Tennessee Inc is 1396745162. It was assigned to this organization in the NPPES registry on July 22, 2005. The provider is doing business as Dry Creek Medical Center.

Where is Rural Health Services Consortium Of Upper East Tennessee Inc located?

Rural Health Services Consortium Of Upper East Tennessee Inc is located at 1826 N Main Ave, Erwin, TN 37650. The listed phone number is (423) 743-6135.

What is Rural Health Services Consortium Of Upper East Tennessee Inc's specialty?

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

Does Rural Health Services Consortium Of Upper East Tennessee Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0310945) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rural Health Services Consortium Of Upper East Tennessee Inc was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.