Rural Health Services Consortium of Upper East Tennessee Inc

A Medicare group practice based in Kingsport, TN: 18 NPIs enrolled under one PECOS associate control ID (PAC ID 0941118111), with 55 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941118111The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
TN
Enrollments
14
Group size
50 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 10 places

Enrollment records 14

Enrollment IDStateProvider typeNPI
O20071115000449 TN Part A Provider - Federally Qualified Health Center (FQHC) 1770583544
O20030709000036 TN Part A Provider - Federally Qualified Health Center (FQHC) 1669472460
O20031107000207 TN Part B Supplier - Clinic/Group Practice 1770583544
O20040505000964 TN Part A Provider - Federally Qualified Health Center (FQHC) 1720088537
O20080929000433 TN Part A Provider - Federally Qualified Health Center (FQHC) 1265432074
O20080929000714 TN Part A Provider - Federally Qualified Health Center (FQHC) 1396745162
O20080929000544 TN Part A Provider - Federally Qualified Health Center (FQHC) 1629078498
O20080930000315 TN Part A Provider - Federally Qualified Health Center (FQHC) 1972503753
O20080930000513 TN Part A Provider - Federally Qualified Health Center (FQHC) 1649270364
O20080930000380 TN Part A Provider - Federally Qualified Health Center (FQHC) 1568462372
O20100930078860 TN DME Supplier - Pharmacy 1528444825
O20250514000345 TN Part A Provider - Federally Qualified Health Center (FQHC) 1255130027
O20171024002363 TN Part A Provider - Federally Qualified Health Center (FQHC) 1891218160
O20131210000296 TN Part A Provider - Federally Qualified Health Center (FQHC) 1346672995

NPIs in this group 18

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 55

Clinicians who reassign their Medicare benefits to this group (54) or whom Care Compare lists as members (50).

Sources for this page