Active NPI
Roane Urgent Care Clinic LLC
- Urgent Care Clinic/Center
- Harriman, TN
National Provider Identifier
1396173423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ROANE URGENT CARE CLINIC LLC
- Practice address
- 2497 S. Roane St
Suite 110 B
Harriman, TN 37748 - Phone
- (865) 255-3310
- Fax
- (865) 590-0196
- NPI assigned
- Oct 29, 2013
- 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
- Corey E Payne, FNP
- Title
- Owner
- Phone
- (865) 255-3310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
2497 S. Roane St
Suite 110 B
Harriman, TN 37748
Mailing address
2497 S. Roane St
Suite 110B
Harriman, TN 37748
Phone (865) 255-3310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295167351 | Other | TN | PERSONAL NPI |
National Provider Directory
National Provider DirectoryLocations
2497 S Roane St
Ste 110B
Harriman, TN 37748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392940800000",
"number": "1396173423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2497 S. ROANE ST",
"address_2": "SUITE 110B",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "37748",
"telephone_number": "865-255-3310",
"fax_number": "865-590-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2497 S. ROANE ST",
"address_2": "SUITE 110 B",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "37748",
"telephone_number": "865-255-3310",
"fax_number": "865-590-0196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROANE URGENT CARE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2014-02-21",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "COREY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "865-255-3310",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1295167351",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harriman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.