1427005008 NPI number — EMERGENCY COVERAGE CORP

Table of content: (NPI 1427005008)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427005008 NPI number — EMERGENCY COVERAGE CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMERGENCY COVERAGE CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
EMERGENCY COVERAGE CORPORATION OF TEAMHEALTH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427005008
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/25/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
265 BROOKVIEW CENTRE WAY STE 203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KNOXVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37919-4053
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
435 2ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37821-3703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-625-2200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CORVINI
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
347-884-1707

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208M00000X , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208M00000X , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7100001620 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5906246 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 611075400 . This is a "US DEPT OF LABOR" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 65922783 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 65938623 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 529930860 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3728413 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 611075400 . This is a "USDLAB" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 000000061568 . This is a "ANTHEM BCBS KY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 016988500 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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