COMMUNITY HEALTH OF EAST TENNESSEE, INC
NPI 1750382164
Clinic/Center - Federally Qualified Health Center (FQHC) in La Follette, TN
NPI Status: Active since August 09, 2005
Contact Information
130 INDEPENDENCE LN
SUITE 1
LA FOLLETTE, TN
ZIP 37766
Phone: (423) 562-1705
Fax: (423) 566-3718
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 44D0878990
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 12-22-2025
About COMMUNITY HEALTH OF EAST TENNESSEE, INC
This page provides the complete NPI Profile along with additional information for Community Health Of East Tennessee, Inc, a primary care provider established in La Follette, Tennessee operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1750382164 assigned on August 2005. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Community Health Of East Tennessee, Inc. The authorized official of this NPI record is Teresa W Dabney (Ceo)
- NPI
- 1750382164
- Provider Legal Name
- COMMUNITY HEALTH OF EAST TENNESSEE, INC
- Other Organization Name
- COMMUNITY HEALTH OF EAST TENNESSEE, INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 130 INDEPENDENCE LN SUITE 1 LA FOLLETTE, TN 37766
- Location Phone
- (423) 562-1705
- Location Fax
- (423) 566-3718
- Mailing Address
- 130 INDEPENDENCE LN SUITE 1 LA FOLLETTE, TN 37766
- Mailing Phone
- (423) 562-1705
- Mailing Fax
- (423) 566-3718
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-09-2005
- Last Update Date
- 04-15-2019
- Code Navigator
A primary care provider (PCP) like Community Health Of East Tennessee, Inc 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
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 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
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.
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 |
|---|---|---|---|
| 3340196 | MEDICAID (05) | TN | |
| 441877 | OTHER (01) | TN | FQHC MEDICARE # |
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
- 44D0878990
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- DR. SHAAN S. VALJI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Community Health Of East Tennessee, Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 | 7 | 5 | 0 | 3 | 8 | 2 | 1 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 8 | 4 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 8 + 4 + 1 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1750382164 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 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528062197 | DR. JOHN S BURRELL M.D. Individual | General Practice | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1356315931 | SHEILA MOREHEAD CFNP Individual | Nurse Practitioner (Primary Care) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1639143258 | MARY MORRIS CFNP Individual | Nurse Practitioner (Primary Care) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1083942205 | DR. STEPHANIE CONDER DNP, FNP-BC Individual | Nurse Practitioner (Family) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1396940656 | DR. SAFWAN HAMWI M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1285046722 | MOUNTAIN HOME VAMC Organization | Clinic/Center (VA) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (615) 355-3451 |
| 1598288425 | MARY EMILY TAMER Individual | Physician Assistant | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1215439203 | MR. WILLIAM EVAN WILSON I PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1023093937 | GERALD G OSBORN DO Individual | Psychiatry & Neurology (Psychiatry) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 462-1705 |
| 1386881241 | MRS. CHASITY AMBER HARRIS LPC-MHSP Individual | Counselor (Mental Health) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1156 |
| 1871113779 | AMY PALMER PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1053420950 | DR. CURTIS CECIL SEXTON MD Individual | Family Medicine | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1679848964 | HEATHER E. GRIEVE PA-C Individual | Physician Assistant | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 563-7666 |
| 1598285884 | SHAAN VALJI MD Individual | Family Medicine | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1245950153 | GABRIEL REED ARCHER PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1811621303 | HANNAH ECHOLS FNP-C Individual | Nurse Practitioner (Family) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
| 1114199338 | DENISE DANIELLE CHRZANOWSKI FNP Individual | Nurse Practitioner (Family) | 130 INDEPENDENCE LN LA FOLLETTE, TN 37766 (423) 562-1705 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750382164, enumerated in the NPI registry as an "organization" on August 09, 2005
The provider is located at 130 Independence Ln Suite 1 La Follette, Tn 37766 and the phone number is (423) 562-1705
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: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 44D0878990 for a "federally qualified health center" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on August 09, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.