Alexian Brothers Pace

LBN: Alexian Brothers Pace
Alexian Brothers Pace is an health care organization with primary practice located at 425 Cumberland St Ste 110 , Chattanooga TN 37404-1909. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Alexian Brothers Pace can be contacted via phone (423) 495-9126, or through Grant, Criss via phone (423) 698-0802.

Contact Information

Primary practice address
425 Cumberland St Ste 110 Chattanooga TN 37404-1909
Phone: (423) 495-9126
Fax: (423) 495-9145
Website:
Map and Directions
Authorized official contact:
Name: Grant, Criss
Phone: (423) 698-0802

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1396091229
LBN Legal business name Alexian Brothers Pace
DBA Doing business as
Authorized official Grant, Criss
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2012
Last updated Jul 30th, 2012 - about 13 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 1396091229 NPPES
Tennessee Other BSW0000000500 DIVISION OF HEALTH RELATED BOARDS

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