Organization Active NPI

Uhs Ventures Inc

  • Rural Health Clinic/Center
  • New Tazewell, TN
National Provider Identifier
1215399654
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UHS VENTURES INC
Practice address
309 N Broad St
New Tazewell, TN 37825-6600
Phone
(423) 626-7297
Fax
(423) 626-1144
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Beth A. Maynard
Title
Vice President
Phone
(865) 305-6427

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X TN
Rural Health Clinic/Center 261QR1300X TN Primary

Addresses

Primary practice location

309 N Broad St
New Tazewell, TN 37825-6600

Mailing address

PO Box 415000-Msc8180
Nashville, TN 37241-8180
Phone (423) 626-7297

Other identifiers 1

IdentifierTypeStateIssuer
Q024259MedicaidTN

Other names 1

  • UT Primary Care Heartland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081106000733 TN Part B Supplier - Clinic/Group Practice 6002727187 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
Practice locations: New Tazewell, TN

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1215399654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000-MSC8180",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418180",
            "telephone_number": "423-626-7297",
            "fax_number": "423-626-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N BROAD ST",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378256600",
            "telephone_number": "423-626-7297",
            "fax_number": "423-626-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "865-305-6427"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024259",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Primary Care Heartland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UT Primary Care Heartland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.