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

Pediatrics Physician in Tazewell, TN · enumerated 2020 · authorized official Andrew Rosendahl, Chief Financial Officer.

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

National Provider Identifier

1194348383

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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 1610 Tazewell Rd Ste 203, Tazewell, TN, 37879
Fax (866) 954-5783
Enumeration date May 21, 2020
Last updated in NPPES Jan 14, 2026

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Andrew Rosendahl
Title Chief Financial Officer

Other identifiers

Identifier Type State Issuer
Q057244 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

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.
Where is East Tennessee Children'S Hospital Primary Care Center, Inc. located?
The practice location on file with NPPES is in Tazewell, TN.

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