East Tennessee State University
Doing business as East Tennessee State University/Keystone Clinic
Federally qualified health center in JC, TN, Medicare certification number 441900.
Medicare certification
Provider of Services- CCN
- 441900
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- Non-profit – corporation
- Participating since
- Aug 11, 2005
- Last certification
- Aug 11, 2005
- Address
- 603 Bert Street
JC, TN 37601
(423) 232-7200
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Johnson City Downtown Clinic Day Center
- Federally Qualified Health Center (FQHC)
- Johnson City, TN
- NPI 1093990608
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.