Active NPI
Uhs Ventures Inc
- Rural Health Clinic/Center
- New Tazewell, TN
National Provider Identifier
1215399654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q024259 | Medicaid | TN |
Other names 1
- UT Primary Care Heartland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Tazewell, TN
- NPI 1396988762
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.