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BULLS GAP MEDICAL CENTER
NPI 1770583544
Clinic/Center - Federally Qualified Health Center (FQHC) in Bulls Gap, TN

Active since July 22, 2005CLIA 44D0311233 · Waiver
260 HIGHWAY 11 E, BULLS GAP, TN 37711(423) 235-4191(423) 235-7092 Get Directions Write a Review

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

About Bulls Gap Medical Center NPPES

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

BULLS GAP MEDICAL CENTER (NPI 1770583544) is a healthcare organization registered as a federally qualified health center (fqhc) in Bulls Gap, Tennessee and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Linda W Buck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770583544
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Location Address260 HIGHWAY 11 EBulls Gap, TN 37711-3416
Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 272-9163 · Fax (423) 921-6920
Phone(423) 235-4191
Fax(423) 235-7092
Organization SubpartNo
Authorized OfficialLinda W BuckCeo · (423) 272-9163
Enumeration DateJuly 22, 2005
Last NPPES UpdateOctober 10, 2008
✔ NPI 1770583544 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
260 HIGHWAY 11 E, Bulls Gap, TN 37711
Open in Google Maps ↗

Other Names 1

Doing Business AsBulls Gap Medical Center

Other Identifiers 6

Medicaid4448148TN
Medicare ID-Type Unspecified441812Fqhc
Other006Champus Provider
Medicare PIN3703865
Other3703863Cigna/medicare
Other4122525TN · Bluecross Blueshield

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 44D0311233

Bulls Gap Medical Center · Bulls Gap, TN
Active · expires Sep 30, 2027
CLIA Number44D0311233
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDr. Mark R. Doman
Laboratory Phone(423) 921-6989
Laboratory LocationBulls Gap Medical CenterPO Box 99, 260 Hwy 11E E, Bulls Gap, TN 37711
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

BECKY RENEE ARNOLD NP
Nurse Practitioner (Family)
260 HIGHWAY 11 E
BULLS GAP, TN 37711
Hawkins County (423) 235-4191
MARK R DOMAN M.D.
Internal Medicine
260 HIGHWAY 11 E
BULLS GAP, TN 37711
Hawkins County (423) 235-4191
MRS. LESLIE RENEE ELLIOTT FNP-BC
Nurse Practitioner (Family)
260 HIGHWAY 11 E
BULLS GAP, TN 37711
Hawkins County (423) 235-4191

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 1770583544. It was assigned to this organization in the NPPES registry on July 22, 2005. The provider is doing business as Bulls Gap 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 260 Highway 11 E, Bulls Gap, TN 37711. The listed phone number is (423) 235-4191.

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 44D0311233) is associated with this NPI, valid through September 30, 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 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.