None

LBN: Pediatric Health Care Associates, Pc
None is an health care organization with primary practice located at 3300 Wilcox Blvd , Chattanooga TN 37411-1073. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Health Care Associates, Pc can be contacted via phone (423) 493-2100, or through Hubbard, Willie Mae via phone (423) 493-2100.

Contact Information

Primary practice address
3300 Wilcox Blvd Chattanooga TN 37411-1073
Phone: (423) 493-2100
Fax: (423) 493-2148
Website:
Map and Directions
Authorized official contact:
Name: Hubbard, Willie Mae Doctor of Medicine (MD)
Phone: (423) 493-2100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1750592689
LBN Legal business name Pediatric Health Care Associates, Pc
DBA Doing business as None
Authorized official Hubbard, Willie Mae Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2007
Last updated Apr 1st, 2019 - about 5 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 1750592689 NPPES
Tennessee MEDICAID 1529502

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