Tri-Cities Observation Services, PC
Emergency Medicine in Johnson City, TN. Organization (NPI-2).
NPI number1154860146
StatusActive
Last updated in NPPESOct 28, 2025
Details
- NPI
- 1154860146
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri-Cities Observation Services, PC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2017
- Certification date
- Oct 28, 2025
- Last updated
- Oct 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
400 N State Of Franklin RdJohnson City, TN 37604-6035
Phone 423-431-6111
Mailing address
200 Corporate BlvdLafayette, LA 70508-3870
Phone 337-609-1153 · Fax 337-262-7246
Authorized official
Kenneth Heinrich
President/Owner
3376091221
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