NPI Portal NPI Lookup & Verification

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

Etlog Management Service

Health Service Clinic/Center in Kingsport, TN · enumerated 2019 · authorized official Yaw Otchere-Boateng, Ceo.

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

National Provider Identifier

1932750189

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Etlog Management Service
Other name <Unavail>
Parent organization Etlog Management Service
Practice address 1005 Carrington Ct, Kingsport, TN, 37660
Phone (423) 677-7040
Enumeration date Sep 27, 2019
Last updated in NPPES Sep 8, 2020

Taxonomy & classification

251B00000X Case Management Agency Agencies Secondary
251J00000X Nursing Care Agency Agencies Secondary
261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Primary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0208X Mobile Radiology Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Secondary
261QV0200X VA Clinic/Center Ambulatory Health Care Facilities Secondary
291U00000X Clinical Medical Laboratory Laboratories Secondary
3245S0500X Children's Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary

Authorized official

Name Yaw Otchere-Boateng
Title Ceo
Phone (423) 677-7040

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Etlog Management Service?
NPPES lists Yaw Otchere-Boateng (Ceo) as the authorized official for this organization.
What is the NPI number for Etlog Management Service?
The NPI for Etlog Management Service is 1932750189, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-08.