MOUNTAIN CITY MEDICAL CENTER
NPI 1720088537
Clinic/Center - Federally Qualified Health Center (FQHC) in Mountain City, 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 44D0311209 · Certificate of Compliance

222 OAK ST, MOUNTAIN CITY, TN 37683(423) 727-6319(423) 727-4164 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mountain City Medical Center NPPES

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

MOUNTAIN CITY MEDICAL CENTER (NPI 1720088537) is a healthcare organization registered as a federally qualified health center (fqhc) in Mountain City, Tennessee and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through June 10, 2028 and lists Linda W Buck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720088537

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC

Location Address222 OAK STMountain City, TN 37683-1526

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

Phone(423) 727-6319

Fax(423) 727-4164

Organization SubpartNo

Authorized OfficialLinda W BuckCeo · (423) 272-9163

Enumeration DateJuly 22, 2005

Last NPPES UpdateOctober 10, 2008

✔ NPI 1720088537 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

222 OAK ST, Mountain City, TN 37683

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Other Names 1

Doing Business AsMountain City Medical Center

Other Identifiers 7

Other020845900Blacklung

Medicare ID-Type Unspecified441816Fqhc

Other004Champus Provider

Medicare PIN3703865

Other3703867Cigna/medicare

Other4122525TN · Bluecross Blueshield

Medicaid4448155TN

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 44D0311209

Rural Health Services Consortium, Inc Dba Mountain City Medical Center · Mountain City, TN

Active · expires Jun 10, 2028

CLIA Number44D0311209

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJune 11, 2026

Certificate Expiration DateJune 10, 2028

Laboratory DirectorDr. Jose P. Velasco

Laboratory Phone(423) 727-6319

Laboratory LocationRural Health Services Consortium, Inc Dba Mountain City Medical Center222 Oak Street, Mountain City, TN 37683

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.

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Other Providers at the Same Location NPPES 8

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

CHRISTINA FAITH STACY FNP

Nurse Practitioner (Family)