# CHOTA COMMUNITY HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHOTA COMMUNITY HEALTH SERVICES
- **Other names:** Rural Vale School Based Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407104458
- **Legal business name:** CHOTA COMMUNITY HEALTH SERVICES
- **Authorized official:** LAURA HARRIS (CEO)
- **Authorized official phone:** (423) 442-7268

## Contact information

- **Practice address:** 395 DAUGHERTY SPRING RD, TELLICO PLAINS, TN 37385-5604
- **Practice address phone:** (423) 253-3551
- **Mailing address:** PO BOX 278, MADISONVILLE, TN 37354-0278
- **Mailing address phone:** (423) 442-2622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/23/2012
- **Last updated:** 06/09/2025
