East Tennessee Community Services Agency

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

EAST TENNESSEE COMMUNITY SERVICES AGENCY

Practice address

201 Center Park Drive
Suite 1100
Knoxville, TN 37922-2109

Phone

(865) 966-6716

Fax

(865) 966-6748

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By 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

Mr. Robert Michael Harkleroad

Title

Executive Director

Phone

(865) 966-6716

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831236843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CENTER PARK DRIVE",
            "address_2": "SUITE 1100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222109",
            "telephone_number": "865-966-6716",
            "fax_number": "865-966-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CENTER PARK DRIVE",
            "address_2": "SUITE 1100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222109",
            "telephone_number": "865-966-6716",
            "fax_number": "865-966-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE COMMUNITY SERVICES AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARKLEROAD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-966-6716",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T000191",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Tennessee Children's Primary Care Center, Inc. (Dolly Parton Children's Hospital West Knoxville Pediatrics)
• East Tennessee Children's Primary Care Center, Inc. (Boys & Girls Pediatrics)
• East Tennessee Childrens Hospital Association Inc (East Tennessee Childrens Hospital Home Health Care)
• East Tennessee Colon & Rectal Surgical Associates PC
• East Tennessee Community Open MRI
• East Tennessee Diagnostic Center, LLC
• East Tennessee Emg, Inc.
• East Tennessee Foot Consultants
• East Tennessee Healthcare Group
• East Tennessee Heart Consultants, P.C.

• Transportation Broker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Transportation Broker in Tennessee

• 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.