State of Tennessee

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

STATE OF TENNESSEE

Doing business as

East Mobile Health Unit
East Tennessee Region

Practice address

2101 Medical Center Way
Knoxville, TN 37920-3257

Phone

(865) 549-5266

Fax

(865) 594-8919

NPI assigned

Jun 18, 2010

Last updated

Aug 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marianne Faneuil Sharp

Title

Accounting Manager

Phone

(865) 549-5266

Specialties & licenses 1

Addresses

Other names 2

• East Mobile Health Unit Doing business as
• East Tennessee Region Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Bristol Health Center203 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.

• Bedford County Health Department

  • Registered Dietitian
  • Shelbyville, TN
  • NPI 1811021694
  NPD tax ID
• Gibson Co. Health Dept.

  • State or Local Public Health Clinic/Center
  • Trenton, TN
  • NPI 1821337387
  NPD tax ID
• Maury County Health Department

  • Clinic/Center
  • Columbia, TN
  • NPI 1750418745
  NPD tax ID
• State of Tennessee

  dba Unicoi County Health Department

  • Public Health or Welfare Agency
  • Erwin, TN
  • NPI 1750427175
  NPD tax ID
• State of Tennessee

  dba Cannon County Health Department

  • Federally Qualified Health Center (FQHC)
  • Woodbury, TN
  • NPI 1760532444
  NPD tax ID
• State of Tennessee

  dba Henderson County Health Department

  • Public Health or Welfare Agency
  • Lexington, TN
  • NPI 1760532923
  NPD tax ID
• State of Tennessee

  dba Humphreys County Health Department

  • Public Health or Welfare Agency
  • Waverly, TN
  • NPI 1760534556
  NPD tax ID
• State of Tennessee

  dba Upper Cumberland Regional Clinic Distributor Pharmacy

  • Clinic Pharmacy
  • Cookeville, TN
  • NPI 1760603005
  NPD tax ID
• State of Tennessee

  dba Scott County Health Department

  • Public Health or Welfare Agency
  • Huntsville, TN
  • NPI 1780722520
  NPD tax ID
• State of Tennessee

  dba DIDD East TN Community Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Greeneville, TN
  • NPI 1780958454
  NPD tax ID
• State of Tennessee

  dba Franklin County Health Department

  • Public Health or Welfare Agency
  • Winchester, TN
  • NPI 1790822765
  NPD tax ID
• State of Tennessee

  dba N E Regional Health Office

  • Public Health or Welfare Agency
  • Johnson City, TN
  • NPI 1801191879
  NPD tax ID

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1801117379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL CENTER WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203257",
            "telephone_number": "865-549-5266",
            "fax_number": "865-594-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL CENTER WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203257",
            "telephone_number": "865-549-5266",
            "fax_number": "865-594-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "FANEUIL",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "865-549-5266"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Mobile Health Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Tennessee Region",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Tennessee Region",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Statcare Inpatient LLC
• Statcare Outpatient, LLC
• State of Tennessee (East Tenn Regional Office - Other Clinics)
• State of Tennessee (Knoxville Regional Lab)
• State of Tennessee (Lakeshore Mental Health Institute)
• State of Tennessee (East Tenn Regional Office - CSS Clinic)
• State of Tennessee State F & a Payroll (Lakeshore Mental Health Inst)
• Mary Staub, BCBA
• Christian L Stauber, MD
• Lori Purkey Staudenmaier, DO

• Public Health or Welfare Agency in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Public Health or Welfare Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.