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General NPI Number Information
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NPI Number | 1548427586
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Entity Type | Organization
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Legal Business Name | CHOTA COMMUNITY HEALTH SERVICES
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 4798 NEW HIGHWAY 68
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City | MADISONVILLE
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State | TN
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Zip | 37354
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Country | US
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Telephone | 423-442-2622
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Fax | 423-442-5760
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Provider Business Mailing Address
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Address Line | P.O. BOX 278
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City | MADISONVILLE
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State | TN
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Zip | 37354
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Country | US
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Telephone | 423-442-2622
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Fax | 423-442-5760
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Authorized Official
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Title or Position | CEO
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Name | MRS. LAURA D HARRIS
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Credential |
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Telephone | 423-442-7268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | TN
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