RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC (NPI# 1770583544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770583544 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC |
| Other Organization Name | BULLS GAP MEDICAL CENTER |
| Practice Address |
260 Highway 11 E Bulls Gap TN 37711-3416 |
| Mailing Address |
Po Box 850 Rogersville TN 37857-0850 |
| Practice Telephone | 4232354191 |
| Practice Fax Number | 4232357092 |
| Mailing Telephone | 4232729163 |
| Mailing Fax Number | 4239216920 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2008-10-10 |
| Authorized Official Name | MRS. LINDA W BUCK (CEO) |
| Authorized Official Telephone | 4232729163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUECROSS BLUESHIELD | 4122525 | 01 |
| CHAMPUS PROVIDER | 006 | 01 | |
| CIGNA/MEDICARE | 3703863 | 01 | |
| TN | 4448148 | 05 |
| Other Name | Type Code |
|---|---|
| Bulls Gap Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679672562 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4966 Highway 11-w, Rogersville, TN 37857-0850 | 2006-09-21 |
| 1861492431 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 300 River Rd, Sneedville, TN 37869-3806 | 2005-07-26 |
| 1154321966 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 900 W Main St, Rogersville, TN 37857-2448 | 2005-07-22 |
| 1629078498 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 580 Van Hill Rd, Greeneville, TN 37745-7608 | 2005-07-22 |
| 1376044552 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 600 Boones Creek Rd, Jonesborough, TN 37659 | 2018-02-23 |
| 1891218160 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 2994 Camp Creek Rd, Camp Creek Medical Center, Greeneville, TN 37743 | 2017-07-19 |
| 1528444825 | Rural Health Services Consortium of Upper East Tennessee Inc | Durable Medical Equipment & Medical Supplies | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2015-08-10 |
| 1346672995 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2013-08-06 |
| 1013917632 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2005-07-26 |
| 1396745162 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 1826 N Main Ave, Erwin, TN 37650-8932 | 2005-07-22 |
| Street Address |
260 HIGHWAY 11 E |
| City | BULLS GAP |
| State | TN |
| Zip Code | 37711-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913391 | Mark R Doman | Internal Medicine | 260 Highway 11 E, Bulls Gap, TN 37711-3416 | 2005-06-22 |
| 1730636556 | Leslie Renee Elliott | Nurse Practitioner | 260 Highway 11 E, Bulls Gap, TN 37711-3416 | 2016-09-09 |
| 1710301361 | Leslie Bumpas | Nurse Practitioner | 260 Highway 11 E, Bulls Gap, TN 37711-3416 | 2014-02-18 |
| 1881690469 | Linda S Housewright | Nurse Practitioner | 260 Highway 11 E, Bulls Gap, TN 37711-3416 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114479151 | Gregory Flora | Driver | 190 Whitaker Road, Bulls Gap, TN 37711 | 2016-10-25 |
| 1447467469 | Blc Drug, Inc | Pharmacy | 272 East Andrew Johnson Highway, Bulls Gap, TN 37711 | 2007-05-17 |
| 1982752549 | Cunningham Drugs | Pharmacy | 411 Hwy 11 E, Bulls Gap, TN 37711 | 2007-01-08 |
| 1396748323 | Laura Ivey Campbell | Pharmacist | 272 Highway 11 E, Bulls Gap, TN 37711 | 2005-05-23 |
| 1023150521 | Stephen Douglas Pearson | Pharmacist | 412 Hwy 11e, Bulls Gap, TN 37711-0097 | 2007-02-12 |
| 1679030829 | Michelle Lee Shively | Nurse Practitioner | 363 Pilot Mountain Rd, Bulls Gap, TN 37711-2322 | 2019-02-25 |
| 1982702791 | Timothy D Humann | Physical Therapist | 264 Highway 11 E, Bulls Gap, TN 37711-3416 | 2006-09-20 |
| 1346332061 | Bulls Gap Pharmacy LLC | Pharmacy | 412 Highway 11 E, Bulls Gap, TN 37711-3428 | 2006-09-29 |
| 1336401165 | Jama Bos | Pharmacist | 412 Highway 11 E, Bulls Gap, TN 37711-3428 | 2012-06-07 |
| 1801856414 | Charles L Backus | Emergency Medicine | 273 Highway 11 E, Bulls Gap, TN 37711-3433 | 2006-03-27 |
| Find all providers in zip 37711 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525809 | Christ Community Health Services, Inc | Clinic/Center | 4350 Chuck Ave, Memphis, TN 38118-4076 | 2020-07-08 |
| 1730707621 | Christ Community Health Services, Inc. | Clinic/Center | 3206 Poplar Ave, Memphis, TN 38111-3502 | 2020-07-08 |
| 1003442112 | Christ Commuity Health Services Inc | Clinic/Center | 3360 S 3rd St, Memphis, TN 38109-2944 | 2020-03-20 |
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1194245399 | United Neighborhood Health Services, Inc. | Clinic/Center | 442 Metroplex Dr Ste 200, Nashville, TN 37211-3112 | 2017-06-20 |
| 1659745354 | Memphis Health Center, Inc. | Clinic/Center | 4250 Faronia Rd Ste 2a, Memphis, TN 38116-6527 | 2015-11-18 |
| 1639546187 | United Neighborhood Health Services, Inc. | Clinic/Center | 3904 Gallatin Pike, Nashville, TN 37216 | 2015-08-31 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1285999128 | United Neighborhood Health Services, Inc | Clinic/Center | 401 Walton Ln, Nashville, TN 37216-1018 | 2012-07-06 |
| 1891058848 | United Neighborhood Health Services, Inc | Clinic/Center | 1900 Hobson Pike, Antioch, TN 37013-2421 | 2012-06-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.