Organization
ALEXIAN BROTHERS COMMUNITY SERVICES OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MULHEARN (CFO, ELDERLY SERVICES)
(314) 771-5800
Entity
Organization
Contact information
Practice address
425 CUMBERLAND ST, STE. 110, CHATTANOOGA, TN 37404-1905
(423) 698-0802
Mailing address
425 CUMBERLAND ST, STE. 110, CHATTANOOGA, TN 37404-1905
(314) 771-5800
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44-27743
NCPDP
—
05
—
7440700
—
TN
Enumeration date
11/28/2006
Last updated
08/22/2020
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