Organization
CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY
Active
Other names
Dodson Avenue Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L BREXLER (PRESIDENT AND CEO)
(423) 778-4780
Entity
Organization
Contact information
Practice address
1200 DODSON AVE, CHATTANOOGA, TN 37406
(423) 778-4780
(423) 778-4833
Mailing address
975 E THIRD ST, CHATTANOOGA, TN 37403
(423) 778-4780
(423) 778-4833
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0000000140
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00451492A
—
GA
Enumeration date
10/04/2006
Last updated
02/27/2008
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