Healthcare Provider Details

I. General information

NPI: 1972873438
Provider Name (Legal Business Name): CHOTA COMMUNITY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2011
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9180 NEW HIGHWAY 68
TELLICO PLAINS TN
37385-5341
US

IV. Provider business mailing address

PO BOX 278
MADISONVILLE TN
37354-0278
US

V. Phone/Fax

Practice location:
  • Phone: 423-253-7005
  • Fax:
Mailing address:
  • Phone: 423-442-2622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURA HARRIS
Title or Position: CEO
Credential:
Phone: 423-442-7268