NPIMap

Organization Active NPI

State of Tennessee

Doing business as Unicoi County Health Department

  • Public Health or Welfare Agency
  • Erwin, TN
National Provider Identifier
1750427175
Registry record updated May 8, 2012
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
Unicoi County Health Department
Practice address
101 Okolona Dr
Erwin, TN 37650-1387
Phone
(423) 979-3200
Fax
(423) 979-3271
NPI assigned
Jan 30, 2007
Last updated
May 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Ms. Kimberli Lenise Fitzpatrick, B.S.
Title
Accountant
Phone
(423) 979-3200

Specialties & licenses 1

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

Addresses

Primary practice location

101 Okolona Dr
Erwin, TN 37650-1387

Mailing address

101 Okolona Dr
Erwin, TN 37650-1387
Phone (423) 743-9103

Other names 1

  • Unicoi 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
Greene Valley Developmental Center Pharmacy202 organizations share this tax ID, including this one

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

1301 Riverfront Pkwy
Ste 209
Chattanooga, TN 37402
Phone (423) 634-1942

101 Okolona Dr
Erwin, TN 37650
Phone (423) 743-9103

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1750427175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OKOLONA DR",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501387",
            "telephone_number": "423-743-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OKOLONA DR",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501387",
            "telephone_number": "423-979-3200",
            "fax_number": "423-979-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "KIMBERLI",
        "authorized_official_middle_name": "LENISE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "423-979-3200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unicoi County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.