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East Tennessee State University

Federally Qualified Health Center (FQHC) in Johnson City, TN · enumerated 2006 · authorized official Betty King, Senior Associate Vice President F&A.

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

National Provider Identifier

1477660199

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Registry record

Entity type Organization (Type 2)
Legal business name East Tennessee State University
Other name <Unavail>
Practice address 2151 Century Lane, Johnson City, TN, 37604
Fax (423) 926-5999
Enumeration date Aug 25, 2006
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Betty King
Title Senior Associate Vice President F&A

Other identifiers

Identifier Type State Issuer
0441901 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 type of organization is East Tennessee State University?
East Tennessee State University is registered in NPPES as a Federally Qualified Health Center (FQHC) (its primary provider taxonomy).
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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.