Provider Demographics
NPI:1871954628
Name:FRIENDS IN NEED HEALTH CENTER
Entity type:Organization
Organization Name:FRIENDS IN NEED HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SITES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-246-0010
Mailing Address - Street 1:1105 W STONE DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-2558
Mailing Address - Country:US
Mailing Address - Phone:423-246-0010
Mailing Address - Fax:423-224-5692
Practice Address - Street 1:1105 W STONE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-2558
Practice Address - Country:US
Practice Address - Phone:423-246-0010
Practice Address - Fax:423-224-5692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN268602261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care