ROAN MOUNTAIN MEDICAL CENTER
NPI 1568462372
Clinic/Center - Federally Qualified Health Center (FQHC) in Roan Mountain, TN

Q: 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.

Active since July 22, 2005CLIA 44D0311217 · Waiver

152 HIGHWAY 143, ROAN MOUNTAIN, TN 37687(423) 772-3276(423) 772-4816 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Roan Mountain Medical Center NPPES

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

ROAN MOUNTAIN MEDICAL CENTER (NPI 1568462372) is a healthcare organization registered as a federally qualified health center (fqhc) in Roan Mountain, Tennessee and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Linda W Buck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568462372

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC

Location Address152 HIGHWAY 143Roan Mountain, TN 37687-3002

Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 272-9163 · Fax (423) 921-6920

Phone(423) 772-3276

Fax(423) 772-4816

Organization SubpartNo

Authorized OfficialLinda W BuckCeo · (423) 272-9163

Enumeration DateJuly 22, 2005

Last NPPES UpdateOctober 10, 2008

✔ NPI 1568462372 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

152 HIGHWAY 143, Roan Mountain, TN 37687

Open in Google Maps ↗

Other Names 1

Doing Business AsRoan Mountain Medical Center

Other Identifiers 7

Other020250900Blacklung

Other4122525TN · Bluecross Blueshield

Medicare ID-Type Unspecified441815

Other005Champus Provider

Medicare ID-Type Unspecified3703860Cigna

Medicaid4448070TN

Medicare PIN3703865

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 44D0311217

Roan Mountain Medical Center · Roan Mountain, TN

Active · expires Aug 14, 2027

CLIA Number44D0311217

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateAugust 15, 2025

Certificate Expiration DateAugust 14, 2027

Laboratory DirectorDr. Wesley R. Hanson

Laboratory Phone(423) 772-3276

Laboratory LocationRoan Mountain Medical CenterPO Box 250, 152 Hwy 143, Roan Mountain, TN 37687

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Jordon Baker Acquisitions, Inc. carries, from the Medicare DMEPOS supplier directory.

Jordon Baker Acquisitions, Inc.

DMEPOS supplier · Roan Mountain, TN

⋮

Does not accept Medicare assignment

Jordon Baker Acquisitions, Inc. has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20420963

Medicare Participant SinceJune 9, 2019

Supplier Location8251 Highway 19 ERoan Mountain, TN 37687

Phone(423) 772-3591

Supplier Specialties

Pharmacy

Medicare Product Categories

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

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

DR. WESLEY ROBERT HANSON MD

Family Medicine