East Tennessee State University
NPI 1093990608 · Federally Qualified Health Center (FQHC) · Johnson City, TN
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Tennessee State University is a Federally Qualified Health Center (FQHC) organization in Johnson City, TN (NPI 1093990608).
Provider details
- NPI number
- 1093990608
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Betty King, Acting Chief Financial Officer(423) 439-4414
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Johnson City Downtown Clinic Day Center
Registry dates
- Enumerated
- 2008-01-02
- Last updated
- 2022-07-21
Frequently asked questions
- What is East Tennessee State University's NPI number?
- East Tennessee State University's National Provider Identifier (NPI) is 1093990608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Tennessee State University?
- East Tennessee State University is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is East Tennessee State University located?
- East Tennessee State University's practice location on file with NPPES is 202 W Fairview Ave, Johnson City, TN 37604-5611.
- What is East Tennessee State University's phone number?
- The practice phone number listed in the NPPES registry for East Tennessee State University is (423) 434-0894.
- Does East Tennessee State University accept Medicare?
- East Tennessee State University is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Tennessee State University?
- The authorized official listed on East Tennessee State University's NPPES record is Betty King, Acting Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Tennessee State University's NPI active?
- Yes — East Tennessee State University's NPI (1093990608) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.