Organization Active NPI

Oliver Springs Walk-in Medical Center

  • Clinic/Center
  • Oliver Springs, TN
National Provider Identifier
1689603474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD0000011610 Issued in TN
Legal business name
OLIVER SPRINGS WALK-IN MEDICAL CENTER
Practice address
616 E Tri County Blvd
Oliver Springs, TN 37840-5413
Phone
(865) 922-1400
NPI assigned
Jul 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hana H Mirani
Title
Office Manager
Phone
(865) 922-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD0000011610 TN Primary

Addresses

Primary practice location

616 E Tri County Blvd
Oliver Springs, TN 37840-5413

Mailing address

616 E Tri County Blvd
Oliver Springs, TN 37840-5413
Phone (865) 922-1400

National Provider Directory

National Provider Directory

Locations

616 E Tri County Blvd
Oliver Springs, TN 37840
Phone (423) 435-3132

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689603474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E TRI COUNTY BLVD",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378405413",
            "telephone_number": "865-922-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E TRI COUNTY BLVD",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378405413",
            "telephone_number": "865-922-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER SPRINGS WALK-IN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRANI",
        "authorized_official_first_name": "HANA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-922-1400"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "MD0000011610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oliver Springs, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.