Organization · Type 2 NPI

Tennesee Department of Health

Public Health or Welfare Agency · Chattanooga, TN

NPI number 1265570600 Active

Practice location

1501 Riverside Dr Ste 120
Chattanooga, TN 37406-4332

Call (423) 634-3110 Map

Fax (423) 634-5848

Mailing address

1301 Riverfront Pkwy Ste 209
Chattanooga, TN 37402-3312

Specialties and licenses

Taxonomy	Code	License
Public Health or Welfare Agency Primary	251K00000X	None listed

Public Health or Welfare Agency: Definition to come...

Another provider at this address

Kylie Ewald McCanless, RNRegistered Nurse Chattanooga, TN NPI 1902735467

Other public health or welfare agency providers in Chattanooga

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NPI record

NPI: 1265570600
Entity type: Organization (Type 2)
Issued: Feb 1, 2007
Last updated: Sep 10, 2019
Status: Active

Other names

<unavail>
State of Tennessee · doing business as
Tbc-Southeast Region Department of Health · doing business as
Tbc-Southeast Region Department of Health · doing business as

Authorized official

Mr. Richard Wayne McCarthy, MBA
Accounting Manager
(423) 634-5832

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265570600

Tennesee Department of Health's National Provider Identifier is 1265570600, issued on Feb 1, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Chattanooga, TN. The record was last updated on Sep 10, 2019.