NPIMap

Organization Active NPI

State of Tennessee

Doing business as Sequatchie County Health Department

  • Public Health or Welfare Agency
  • Dunlap, TN
National Provider Identifier
1497892343
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
STATE OF TENNESSEE
Doing business as
Sequatchie County Health Department
Practice address
16939 Rankin Ave
Dunlap, TN 37327-7029
Phone
(423) 949-3619
Fax
(423) 949-6507
NPI assigned
Jan 31, 2007
Last updated
Feb 25, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
TENNESEE DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Mr. Richard Wayne McCarthy
Title
Accounting Manager
Phone
(423) 634-5832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

16939 Rankin Ave
Dunlap, TN 37327-7029

Mailing address

16939 Rankin Ave
Dunlap, TN 37327-7029
Phone (423) 949-3619

Other names 1

  • Sequatchie County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013001259 TN Part B Supplier - Mass Immunization (Roster Biller Only) 5698687077 This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Kingsport Health Center202 organizations share this tax ID, including this one
Part of
Kingsport Health Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

16939 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-3619

170 Church St
Dunlap, TN 37327
Phone (423) 949-3619

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1497892343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16939 RANKIN AVE",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373277029",
            "telephone_number": "423-949-3619",
            "fax_number": "423-949-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16939 RANKIN AVE",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373277029",
            "telephone_number": "423-949-3619",
            "fax_number": "423-949-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENNESEE DEPARTMENT OF HEALTH",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "423-634-5832",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequatchie County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sequatchie County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunlap, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.