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East Tennessee Children'S Hospital Primary Care Center, Inc.

Pediatrics Physician in Alcoa, TN · enumerated 2007 · authorized official Andrew Rosendahl, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184829368

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Registry record

Entity type Organization (Type 2)
Legal business name East Tennessee Children'S Hospital Primary Care Center, Inc.
Other name <Unavail>
Parent organization East Tennessee Children'S Hospital Primary Care Center Inc.
Practice address 352 Fountain View Circle, Alcoa, TN, 37701
Phone (865) 982-0032
Fax (866) 307-8963
Enumeration date Jun 18, 2007
Last updated in NPPES Jan 14, 2026

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Andrew Rosendahl
Title Chief Financial Officer
Phone (865) 541-8154

Other identifiers

Identifier Type State Issuer
5441765 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is East Tennessee Children'S Hospital Primary Care Center, Inc. located?
The practice location on file with NPPES is in Alcoa, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-14. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-14.