EAST TENNESSEE STATE UNIVERSITY

NPI # 

Practice Address:

202 W Fairview Ave

Johnson City, TN, 37604-5611

Practice Phone:

423-434-0894

Practice Fax:

423-434-0666

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X

Updated by NPPES on 7/21/2022. You can view the original data set for NPI # 1093990608 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

Descriptive Alt Text

EAST TENNESSEE STATE UNIVERSITY's

CMS CPT® coding data

Prescription Medicine Icon

EAST TENNESSEE STATE UNIVERSITY's

CMS prescription data

Nearby Clinic/Center Physicians

NPI Scope Website Logo

© NPI Scope LLC 2025 - All rights reserved.

The information on npiscope.com is based upon data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA), and is provided "AS IS", subject to address and contact information verification. We do not guarantee the accuracy and/or reliability of the contents found on npiscope.com. Healthcare provider information may be obtained directly from the HHS under the FOIA. In the event of a medical emergency, please dial 911 or your local emergency services number immediately. This website is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and should not be relied upon as such.