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KINGSPORT MEDICAL CENTER
NPI 1649270364
Clinic/Center - Federally Qualified Health Center (FQHC) in Kingsport, TN

Active since July 22, 2005CLIA 44D0876195 · Certificate of Compliance
737 E SEVIER AVE, KINGSPORT, TN 37660(423) 246-7922(423) 246-4248 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kingsport Medical Center NPPES

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

KINGSPORT MEDICAL CENTER (NPI 1649270364) is a healthcare organization registered as a federally qualified health center (fqhc) in Kingsport, Tennessee and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through April 27, 2028 and lists Linda W Buck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649270364
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Location Address737 E SEVIER AVEKingsport, TN 37660-4912
Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 272-9163 · Fax (423) 921-6920
Phone(423) 246-7922
Fax(423) 246-4248
Organization SubpartNo
Authorized OfficialLinda W BuckCeo · (423) 272-9163
Enumeration DateJuly 22, 2005
Last NPPES UpdateOctober 10, 2008
✔ NPI 1649270364 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
737 E SEVIER AVE, Kingsport, TN 37660
Open in Google Maps ↗

Other Names 1

Doing Business AsKingsport Medical Center

Other Identifiers 7

Medicaid4448223TN
Other3703862Cigna/medicare
Other4122525TN · Bluecross Blueshield
Other003Champus Provider
Other023398200Blacklung
Medicare ID-Type Unspecified441862Fqhc
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 Compliance 44D0876195

Kingsport Medical Center · Kingsport, TN
Active · expires Apr 27, 2028
CLIA Number44D0876195
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorDr. Jose P. Velasco
Laboratory Phone(423) 246-7922
Laboratory LocationKingsport Medical Center737 E Sevier Ave, Kingsport, TN 37660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

JULIA PAIGE DUNN FNP-BC
Nurse Practitioner (Family)
737 E SEVIER AVE
KINGSPORT, TN 37660
Sullivan County (423) 246-7922
TERYN MULLINS FNP
Nurse Practitioner (Family)
737 E SEVIER AVE
KINGSPORT, TN 37660
Sullivan County (423) 246-7922
MRS. CATHERINE M RAFF FNP
Nurse Practitioner (Family)
737 E SEVIER AVE
KINGSPORT, TN 37660
Sullivan County (423) 246-7922
DR. AMYLYN LANE CRAWFORD MD
Family Medicine
737 E SEVIER AVE
KINGSPORT, TN 37660
Sullivan County (423) 246-7922
MATTHEW DAVID WOOD FNP
Nurse Practitioner (Family)
737 E SEVIER AVE
KINGSPORT, TN 37660
Sullivan County (423) 246-7922

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 1649270364. It was assigned to this organization in the NPPES registry on July 22, 2005. The provider is doing business as Kingsport 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 737 E Sevier Ave, Kingsport, TN 37660. The listed phone number is (423) 246-7922.

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 Compliance (number 44D0876195) is associated with this NPI, valid through April 27, 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.