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

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

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

National Provider Identifier

1366648040

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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 2221 Jacksboro Pike Ste C4, La Follette, TN, 37766
Fax (866) 722-3453
Enumeration date Jun 21, 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
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Andrew Rosendahl
Title Chief Financial Officer

Other identifiers

Identifier Type State Issuer
Q002836 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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is East Tennessee Children'S Hospital Primary Care Center, Inc.?
East Tennessee Children'S Hospital Primary Care Center, Inc. is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

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