OrganizationActive
East Tennessee State University
NPI 1477660199 · Federally Qualified Health Center (FQHC) · Johnson City, TN
Provider details
- NPI number
- 1477660199
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Betty King, Senior Associate Vice President F&a(423) 439-4414
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2151 Century Lane
Johnson City, TN 37604
Phone: (423) 926-2500
Fax: (423) 926-5999
Street-level locationGet directions
Mailing address
365 Stout Drive, Box 70403
Johnson City, TN 37614-1703
Other names (DBA / former)
- Doing business as
- Johnson City Community Health Center
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 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.