MEDICARE: CHASE ENERGY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1790612711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHASE ENERGY LLC

Provider Business Mailing Address
First Line	:	606 PENNYLANE ST SE
Second Line	:
City	:	HARTSELLE
State	:	AL
Zip	:	35640-3336
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 LAFAYETTE ST NW
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-1417
Country	:	US
Telephone Number	:	256-227-2882
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRANDON ORR
Credential	:
Telephone Number	:	256-227-2882

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “CHASE ENERGY LLC ” Practice Location

Language	Start Address	Practice Location

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