Organization
ALEXIAN BROTHERS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISS GRANT (DIR. OF PLANNING AND COMMUNICATIONS)
(423) 698-0802
Entity
Organization
Contact information
Practice address
425 CUMBERLAND ST, SUITE 110, CHATTANOOGA, TN 37404-1909
(423) 698-0802
(423) 495-9145
Mailing address
425 CUMBERLAND ST, SUITE 110, CHATTANOOGA, TN 37404-1909
(423) 698-0802
(423) 495-9145
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1080895
AHIMA
TN
Enumeration date
08/09/2012
Last updated
08/09/2012
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