MEDICARE: FORT SANDERS REGIONAL MEDICAL CENTER

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
1	291U00000X	Clinical Medical Laboratory
2	282N00000X	General Acute Care Hospital	0000000043	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1942294814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT SANDERS REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	DEPT 888001
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37995-8001
Country	:	US
Telephone Number	:	865-374-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 W CLINCH AVE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37916-2307
Country	:	US
Telephone Number	:	865-374-3000
Fax Number	:

Authorized Official
Title or Position	:	VP REVENUE CYCLE
Name	:	RICK CARRINGER
Credential	:	CPA
Telephone Number	:	865-374-3090

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	11/21/2023

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Directions to “FORT SANDERS REGIONAL MEDICAL CENTER ” Practice Location

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