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

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  • 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
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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)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LINDA W BUCK

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(423) 272-9163

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.
1376044552
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146048510
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 = 22

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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