Dodson Avenue Community Health

LBN: Chattanooga Hamilton County Hospital Authority
Dodson Avenue Community Health is an health care organization with primary practice located at 1200 Dodson Ave , Chattanooga TN 37406. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Chattanooga Hamilton County Hospital Authority can be contacted via phone (423) 778-4780, or through Brexler, James L via phone (423) 778-4780.

Contact Information

Primary practice address
1200 Dodson Ave Chattanooga TN 37406
Phone: (423) 778-4780
Fax: (423) 778-4833
Website:
Map and Directions
Authorized official contact:
Name: Brexler, James L
Phone: (423) 778-4780

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 0000000140 Tennessee

Profile Details

NPI number 1609961549
LBN Legal business name Chattanooga Hamilton County Hospital Authority
DBA Doing business as Dodson Avenue Community Health
Authorized official Brexler, James L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 27th, 2008 - about 16 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 1609961549 NPPES
Georgia MEDICAID 00451492A

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