Healthcare Provider Details

I. General information

NPI: 1770678617
Provider Name (Legal Business Name): CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 WHEELERTOWN AVENUE
PIKEVILLE TN
37367-0699
US

IV. Provider business mailing address

975 E THIRD STREET
CHATTANOOGA TN
37403
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-4780
  • Fax: 423-778-4833
Mailing address:
  • Phone: 423-778-4780
  • Fax: 423-778-4833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number0000000005
License Number StateTN

VIII. Authorized Official

Name: MR. JAMES L BREXLER
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 423-778-4780