Organization · Type 2 NPI

Chota Community Health Services

Family Medicine Physician · Madisonville, TN

NPI number 1679821623 Active

Practice location

1000 Green Rd
Madisonville, TN 37354-7062

Call (423) 442-2454 Map

Mailing address

PO Box 278
Madisonville, TN 37354-0278

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	None listed
Family Medicine Physician Primary	207Q00000X	None listed
Nurse Practitioner	363L00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Madisonville

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NPI record

NPI: 1679821623
Entity type: Organization (Type 2)
Issued: Aug 23, 2012
Last updated: Jun 9, 2025
Status: Active
Subpart: Yes of Chota Community Health Services

Other names

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Madisonville Intermediate School Based Clinic · other name

Authorized official

Ms. Laura Harris
CEO
(423) 442-2622

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 1679821623

Chota Community Health Services's National Provider Identifier is 1679821623, issued on Aug 23, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Madisonville, TN. The record was last updated on Jun 9, 2025.