BAILEYTON MEDICAL CENTER
NPI 1629078498
Clinic/Center - Federally Qualified Health Center (FQHC) in Greeneville, TN

Active since July 22, 2005CLIA 44D0945793 · Waiver
580 VAN HILL RD, GREENEVILLE, TN 37745(423) 234-1020(423) 234-0646 Get Directions Write a Review

NPPES record last updated: August 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baileyton Medical Center NPPES

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

BAILEYTON MEDICAL CENTER (NPI 1629078498) is a healthcare organization registered as a federally qualified health center (fqhc) in Greeneville, Tennessee and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Linda W Buck, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1629078498
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Location Address580 VAN HILL RDGreeneville, TN 37745-7608
Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 272-9163 · Fax (423) 921-6920
Fax(423) 234-0646
Organization SubpartNo
Authorized OfficialLinda W BuckPresident/ceo · (423) 272-9163
Enumeration DateJuly 22, 2005
Last NPPES UpdateAugust 1, 2011
NPI 1629078498 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
580 VAN HILL RD, Greeneville, TN 37745

Other Names 1

Doing Business AsBaileyton Medical Center

Other Identifiers 7

Other4122525TN · Bluecross Blueshield
Other3716670Cigna/medicare
Other023398200Black Lung
Other015Champus Provider
Medicaid4448311TN
Medicare ID-Type Unspecified441803Fqhc
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 44D0945793

Baileyton Medical Center · Greeneville, TN
Active · expires Dec 17, 2027
CLIA Number44D0945793
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorDr. Wesley R. Hanson
Laboratory Phone(423) 234-1020
Laboratory LocationBaileyton Medical Center580 Van Hill Road, Greeneville, TN 37745
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 4

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

Physician Assistant
580 VAN HILL RD
GREENEVILLE, TN 37745
Nurse Practitioner (Family)
580 VAN HILL RD
GREENEVILLE, TN 37745
Physician Assistant
580 VAN HILL RD
GREENEVILLE, TN 37745
Physician Assistant
580 VAN HILL RD
GREENEVILLE, TN 37745

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 1629078498. It was assigned to this organization in the NPPES registry on July 22, 2005. The provider is doing business as Baileyton 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 580 Van Hill Rd, Greeneville, TN 37745. The listed phone number is (423) 234-1020.

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 44D0945793) is associated with this NPI, valid through December 17, 2027. 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 August 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.