DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

MEDICARE: EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician
2363AS0400XSurgical Physician Assistant
32086S0120XPediatric Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639254972
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Provider Business Mailing Address
First Line : PO BOX 15004
Second Line :
City : KNOXVILLE
State : TN
Zip : 37901-5004
Country : US
Telephone Number : 865-541-8895
Fax Number : 865-633-4808
Provider Business Practice Location Address
First Line : 2100 CLINCH AVENUE SUITE 510
Second Line :
City : KNOXVILLE
State : TN
Zip : 37916-2225
Country : US
Telephone Number : 865-546-2131
Fax Number : 877-821-0891
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : ANDREW ROSENDAHL
Credential :
Telephone Number : 865-541-8154
Provider Enumeration Date : 10/26/2006
Last Update Date : 12/30/2025

Similar Medicare Providers

1588645774 — WILLIAM GLAZE VAUGHAN MD
Practice Location Address:
2100 CLINCH AVE STE 510
KNOXVILLE, TN
37916-2225
Practice Phone: 865-546-2131
Practice Fax: 877-821-0891
1407883986 — DR. ERIC R JENSEN MD
Practice Location Address:
2100 CLINCH AVE STE 510
KNOXVILLE, TN
37916-2225
Practice Phone: 865-541-2131
Practice Fax: 877-821-0891
1932131901 — DR. CARLOS A ANGEL MD
Practice Location Address:
2100 CLINCH AVE STE 510
KNOXVILLE, TN
37916-2225
Practice Phone: 865-541-2131
Practice Fax: 877-821-0891
1275768996 — MRS. SARA HOLLAND CPNP
Practice Location Address:
2100 CLINCH AVENUE SUITE 510
KNOXVILLE, TN
37916-2225
Practice Phone: 658-244-9398
Practice Fax: 866-630-2013
1982903712 — DR. JUSTIN R. DAGGETT M.D.
Practice Location Address:
2100 CLINCH AVENUE SUITE 510
KNOXVILLE, TN
37916-2225
Practice Phone: 865-824-4939
Practice Fax: 866-630-2013
1700230356 — MS. BASILIA PENDLETON DAMERON N.P.
Practice Location Address:
2100 CLINCH AVENUE SUITE 510
KNOXVILLE, TN
37916-2225
Practice Phone: 865-824-4939
Practice Fax: 866-630-2013

Directions to “EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.