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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

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

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

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

National Provider Identifier

1457557134

Verified

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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 2130 N Charles G Seivers Blvd Ste 4, Clinton, TN, 37716
Fax (866) 699-4833
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
Q002835 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 Clinton, 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.

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