KINGSPORT MEDICAL CENTER
NPI 1649270364
Clinic/Center - Federally Qualified Health Center (FQHC) in Kingsport, TN

NPI Status: Active since July 22, 2005

Contact Information

737 E SEVIER AVE
KINGSPORT, TN
ZIP 37660
Phone: (423) 246-7922
Fax: (423) 246-4248

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About KINGSPORT MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Kingsport Medical Center, a primary care provider established in Kingsport, Tennessee operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1649270364 assigned on July 2005. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Kingsport Medical Center. The authorized official of this NPI record is Mrs. Linda W Buck (Ceo)

NPI
1649270364
Provider Legal Name
RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Other Organization Name
KINGSPORT MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
737 E SEVIER AVE KINGSPORT, TN 37660
Location Phone
(423) 246-7922
Location Fax
(423) 246-4248
Mailing Address
PO BOX 850 ROGERSVILLE, TN 37857
Mailing Phone
(423) 272-9163
Mailing Fax
(423) 246-4248
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2005
Last Update Date
10-10-2008
Code Navigator

A primary care provider (PCP) like Kingsport Medical Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. LINDA W BUCK

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4448223MEDICAID (05)TN 
3703862OTHER (01)CIGNA/MEDICARE
4122525OTHER (01)TNBLUECROSS BLUESHIELD
003OTHER (01)CHAMPUS PROVIDER
023398200OTHER (01)BLACKLUNG
441862MEDICARE ID-TYPE UNSPECIFIED (04)FQHC
3703865MEDICARE PIN (08) 

Reviews for KINGSPORT MEDICAL CENTER

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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.
1649270364
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689470312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 4 + 7 + 0 + 3 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1649270364 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730183260DR. AMYLYN LANE CRAWFORD MD
Individual
Family Medicine737 E SEVIER AVE
KINGSPORT, TN 37660
(423) 246-7922
1578567004MRS. CATHERINE M RAFF FNP
Individual
Nurse Practitioner (Family)737 E SEVIER AVE
KINGSPORT, TN 37660
(423) 246-7922
1235513508 JULIA PAIGE DUNN FNP-BC
Individual
Nurse Practitioner (Family)737 E SEVIER AVE
KINGSPORT, TN 37660
(423) 246-7922
1396203352 TERYN MULLINS FNP
Individual
Nurse Practitioner (Family)737 E SEVIER AVE
KINGSPORT, TN 37660
(423) 246-7922
1972162428 MATTHEW DAVID WOOD FNP
Individual
Nurse Practitioner (Family)737 E SEVIER AVE
KINGSPORT, TN 37660
(423) 246-7922
1861496390 JOSE PINLAC VELASCO MD
Individual
Family Medicine737 E SEVIER AVE
KINGSPORT, TN 37660
(423) 246-7922

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649270364, enumerated in the NPI registry as an "organization" on July 22, 2005

The provider is located at 737 E Sevier Ave Kingsport, Tn 37660 and the phone number is (423) 246-7922

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Medicare, Medicaid, Cigna and Tricare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 22, 2005. 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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