Eastside Internal Medicine Pc

LBN: Eastside Internal Medicine Pc
Eastside Internal Medicine Pc is an health care organization with primary practice located at 1720 Gunbarrel Road Suite 206, Chattanooga TN 37421. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Eastside Internal Medicine Pc can be contacted via phone (423) 648-8110, or through Alay, Roger via phone (423) 648-8110.

Contact Information

Primary practice address
1720 Gunbarrel Road Suite 206 Chattanooga TN 37421
Phone: (423) 648-8110
Fax: (423) 443-4297
Website:
Map and Directions
Authorized official contact:
Name: Alay, Roger
Phone: (423) 648-8110

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 31560 Tennessee

Profile Details

NPI number 1427112259
LBN Legal business name Eastside Internal Medicine Pc
DBA Doing business as
Authorized official Alay, Roger
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Oct 12th, 2011 - about 14 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 1427112259 NPPES
Tennessee MEDICAID 3888401

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