East Tennessee Addiction Specialists
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Oneida, TN
NPI 1871361436 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1871361436
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- EAST TENNESSEE ADDICTION SPECIALISTS
- Practice address
- 20445 Alberta St
Oneida, TN 37841-3509 - Phone
- (423) 286-7638
- NPI assigned
- Dec 13, 2023
- Organization subpart
- No
Authorized official
- Name
- Clay Eugene Stalcup, MD
- Title
- Co-Owner
- Phone
- (865) 406-2715
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- East Tennessee Addiction Specialists
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
20445 Alberta St
Oneida, TN 37841-3509
Mailing address
2036 Chilhowee Medical Park
Maryville, TN 37804-5285
Phone (865) 268-4360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q045176 | Medicaid | TN |
Other providers in Oneida, TN
- DRS Coffey Internal Medicine LLC
- Irene Duck
- Raelan Duncan
- Anthony Blake Dunlap
- Sarah L Dunlap
- East Tennessee Medical Group, P.C.
- Benjamin Edwards
- Elderberry Health PLLC
- Elderberry Health PLLC
- Elk Valley Home Health Care Agency, LLC
All providers in Oneida, TN · Substance Use Disorder Rehabilitation Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.