RHSC MEDICAL CENTER AT JONESBOROUGH
NPI 1376044552
Pediatrics in Jonesborough, TN
NPI Status: Active since February 23, 2018
Contact Information
600 BOONES CREEK RD
JONESBOROUGH, TN
ZIP 37659
Phone: (423) 788-9374
Fax: (423) 788-9377
- Organization
- Pediatrics
- CLIA Number: 44D2147090
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 11-25-2026
About RHSC MEDICAL CENTER AT JONESBOROUGH
This page provides the complete NPI Profile along with additional information for Rhsc Medical Center At Jonesborough, a pediatrician established in Jonesborough, Tennessee operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1376044552 assigned on February 2018. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Rhsc Medical Center At Jonesborough operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Rhsc Medical Center At Jonesborough. The authorized official of this NPI record is Linda W Buck (President/ceo)
- NPI
- 1376044552
- Provider Legal Name
- RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
- Other Organization Name
- RHSC MEDICAL CENTER AT JONESBOROUGH
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 600 BOONES CREEK RD JONESBOROUGH, TN 37659
- Location Phone
- (423) 788-9374
- Location Fax
- (423) 788-9377
- Mailing Address
- PO BOX 850 ROGERSVILLE, TN 37857
- Mailing Phone
- (423) 272-9163
- Mailing Fax
- (423) 788-9377
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2018
- Last Update Date
- 03-10-2022
- Code Navigator
A pediatrician like Rhsc Medical Center At Jonesborough is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2147090
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- November 26, 2024
- Certificate Expiration Date
- November 25, 2026
- Laboratory Director
- DR. JOSE P. VELASCO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Rhsc Medical Center At Jonesborough after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 7 | 6 | 0 | 4 | 4 | 5 | 5 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 14 | 6 | 0 | 4 | 8 | 5 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 4 + 6 + 0 + 4 + 8 + 5 + 1 + 0 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1376044552 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1649670639 | MAUREEN J. PEACOCK FNP Individual | Nurse Practitioner (Family) | 600 BOONES CREEK RD JONESBOROUGH, TN 37659 (423) 788-9374 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376044552, enumerated in the NPI registry as an "organization" on February 23, 2018
The provider is located at 600 Boones Creek Rd Jonesborough, Tn 37659 and the phone number is (423) 788-9374
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider's CLIA number is 44D2147090 for a "federally qualified health center" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on February 23, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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