Organization
CHEROKEE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W HOWARD CPA (CFO)
(423) 587-7337
Entity
Organization
Contact information
Practice address
8655 RUTLEDGE PIKE, RUTLEDGE, TN 37861-3112
(865) 828-4248
(865) 828-4292
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3686393
—
TN
05
—
3696394
—
TN
05
—
3706725
—
TN
01
—
44-1882
FQHC - MEDICAID
TN
Enumeration date
01/12/2009
Last updated
11/10/2010
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