Etowah Health Care Center

LBN: Southeastern Health Facilities Inc
Etowah Health Care Center is an health care organization with primary practice located at 409 Grady Rd , Etowah TN 37331-1903. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Southeastern Health Facilities Inc can be contacted via phone (423) 263-1138, or through Chism, Roy via phone (423) 263-1138.

Contact Information

Primary practice address
409 Grady Rd Etowah TN 37331-1903
Phone: (423) 263-1138
Fax: (423) 263-8876
Website:
Map and Directions
Authorized official contact:
Name: Chism, Roy
Phone: (423) 263-1138

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 163 Tennessee

Profile Details

NPI number 1538269865
LBN Legal business name Southeastern Health Facilities Inc
DBA Doing business as Etowah Health Care Center
Authorized official Chism, Roy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 17th, 2015 - about 9 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 1538269865 NPPES
Tennessee MEDICAID 7440321
Tennessee MEDICAID 0445422

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