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General NPI Number Information
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NPI Number | 1265410948
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Entity Type | Organization
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Legal Business Name | FORT SANDERS REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1901 CLINCH AVENUE
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City | KNOXVILLE
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State | TN
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Zip | 37995-0001
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Country | US
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Telephone | 865-374-3000
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT 888001
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City | KNOXVILLE
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State | TN
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Zip | 37995-0001
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Country | US
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Telephone | 865-374-3000
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Fax |
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | RICK CARRINGER
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Credential | CPA
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Telephone | 865-374-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0000000325
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License Number State | TN
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