# TENNESEE DEPARTMENT OF HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** TBC-Southeast Region Department of Health, STATE OF TENNESSEE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265570600
- **Authorized official:** MR. RICHARD WAYNE MCCARTHY MBA (ACCOUNTING MANAGER)
- **Authorized official phone:** (423) 634-5832

## Contact information

- **Practice address:** 1501 RIVERSIDE DR STE 120, CHATTANOOGA, TN 37406-4332
- **Practice address phone:** (423) 634-3110
- **Practice address fax:** (423) 634-5848
- **Mailing address:** 1301 RIVERFRONT PKWY STE 209, CHATTANOOGA, TN 37402-3312
- **Mailing address phone:** (423) 634-5832
- **Mailing address fax:** (423) 634-3186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 09/10/2019
