Healthcare Provider Details

I. General information

NPI: 1164161444
Provider Name (Legal Business Name): PACE HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2022
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 LIFESTYLE WAY STE 101
CHATTANOOGA TN
37421-1985
US

IV. Provider business mailing address

820 FESSLERS PKWY STE 315
NASHVILLE TN
37210-2938
US

V. Phone/Fax

Practice location:
  • Phone: 615-214-3777
  • Fax:
Mailing address:
  • Phone: 615-214-3777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. THEODORE MACDONALD
Title or Position: CEO
Credential:
Phone: 615-214-3777