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Organization

CHOTA COMMUNITY HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURA D HARRIS (CEO)
(423) 442-7268
Entity
Organization

Contact information

Practice address
4798 NEW HIGHWAY 68, MADISONVILLE, TN 37354
(423) 442-2622
(423) 442-5760
Mailing address
P.O. BOX 278, MADISONVILLE, TN 37354
(423) 442-2622
(423) 442-5760

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0441922
TN
05
1507934
TN
Enumeration date
05/19/2008
Last updated
06/09/2025
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