Bradford Health Services

LBN: Addiction & Mental Health Services, Llc
Bradford Health Services is an health care organization with primary practice located at 6160 Shallowford Rd Suite 103, Chattanooga TN 37421-7213. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Addiction & Mental Health Services, Llc can be contacted via phone (423) 892-2939, or through Edwards, Mark via phone (205) 244-8112.

Contact Information

Primary practice address
6160 Shallowford Rd Suite 103 Chattanooga TN 37421-7213
Phone: (423) 892-2939
Fax: (423) 892-6182
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Mark
Phone: (205) 244-8112

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1992853352
LBN Legal business name Addiction & Mental Health Services, Llc
DBA Doing business as Bradford Health Services
Authorized official Edwards, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated May 9th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992853352 NPPES
Tennessee MEDICAID Q014477

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