ROAN MOUNTAIN MEDICAL CENTER
NPI 1568462372
Clinic/Center - Federally Qualified Health Center (FQHC) in Roan Mountain, TN
NPI Status: Active since July 22, 2005
Contact Information
152 HIGHWAY 143
ROAN MOUNTAIN, TN
ZIP 37687
Phone: (423) 772-3276
Fax: (423) 772-4816
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 44D0311217
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 08-14-2027
About ROAN MOUNTAIN MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Roan Mountain Medical Center, a primary care provider established in Roan Mountain, Tennessee operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1568462372 assigned on July 2005. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Roan Mountain Medical Center. The authorized official of this NPI record is Mrs. Linda W Buck (Ceo)
- NPI
- 1568462372
- Provider Legal Name
- RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
- Other Organization Name
- ROAN MOUNTAIN MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 152 HIGHWAY 143 ROAN MOUNTAIN, TN 37687
- Location Phone
- (423) 772-3276
- Location Fax
- (423) 772-4816
- Mailing Address
- PO BOX 850 ROGERSVILLE, TN 37857
- Mailing Phone
- (423) 272-9163
- Mailing Fax
- (423) 772-4816
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2005
- Last Update Date
- 10-10-2008
- Code Navigator
A primary care provider (PCP) like Roan Mountain Medical Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Roan Mountain Medical Center is a medicare supplier with PTAN 20420963 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Canes and/or Crutches or Walkers or Orthoses: Off-The-Shelf.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 020250900 | OTHER (01) | BLACKLUNG | |
| 4122525 | OTHER (01) | TN | BLUECROSS BLUESHIELD |
| 441815 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 005 | OTHER (01) | CHAMPUS PROVIDER | |
| 3703860 | MEDICARE ID-TYPE UNSPECIFIED (04) | CIGNA | |
| 4448070 | MEDICAID (05) | TN | |
| 3703865 | MEDICARE PIN (08) |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20420963
- Accepts Medicare Assignment
- NO
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Infusion Drugs -
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0311217
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- August 15, 2025
- Certificate Expiration Date
- August 14, 2027
- Laboratory Director
- DR. WESLEY R. HANSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Roan Mountain Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568462372, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
ROAN MOUNTAIN, TN 37687
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568462372, enumerated as an "organization" on July 22, 2005.
The provider is located at 152 HIGHWAY 143 ROAN MOUNTAIN, TN 37687 and the phone number is (423) 772-3276.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
The provider might be accepting Accepts: Medicare, Medicaid, Tricare and Cigna. Please consult your insurance carrier or call the provider to verify.
