East Tennessee Medical Services LLC
Organization Active NPI Clinic/Center · Strawberry Plains, TN
NPI 1033866769 · NPPES record last updated Jul 15, 2022
Key facts
- NPI
- 1033866769
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- EAST TENNESSEE MEDICAL SERVICES LLC
- Practice address
- 524 Andrew Johnson Hwy
Strawberry Plains, TN 37871-1015 - Phone
- (865) 933-4149
- Fax
- (865) 933-4037
- NPI assigned
- Mar 2, 2022
- Organization subpart
- No
Authorized official
- Name
- Chase Arms, PHARM D
- Title
- Authorized Official / Manager
- Phone
- (865) 603-2782
Practitioners 2
-
Chase Arms, PHARMD
-
Grant Wallen, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220418000689 | TN | Part B Supplier - Clinic/Group Practice | 4385031574 | Practice locations: Strawberry Plains, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Clinic/Center | 261Q00000X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
524 Andrew Johnson Hwy
Strawberry Plains, TN 37871-1015
Mailing address
524 Andrew Johnson Hwy
Strawberry Plains, TN 37871-1015
Phone (865) 933-4149
Other practice location 1
1024 Middle Creek Rd Ste 1
Sevierville, TN 37862-6921
Phone (865) 933-4149 ext. 6
Other practice location 2
520 Clinch Ave
Clinton, TN 37716-4228
Phone (865) 933-4149 ext. 6
Other practice location 3
265 E Main St
Newport, TN 37821-3126
Phone (865) 933-4149 ext. 6
Other names
- East Tennessee Medical Services
Other providers in Strawberry Plains, TN
- Andrew H Charles Jr.
- Nicholas Joseph Charles
- Patrick Benjamin Charles
- Melissa Jane Claiborne
- Kiyomi Lee Miyamoto Duncan
- Edward Bissell Inc
- Edward Bissell Inc
- Angela Gail Hightower
- His Hands Health Care
- Alyssa Rose Park
All providers in Strawberry Plains, TN · Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.