Orange Grove Center, Inc. in Chattanooga - Adult Medicine
Orange Grove Center, Inc. - NPI 1073668653
Orange Grove Center, Inc. is a Adult Medicine in Chattanooga, Tennessee. Orange Grove Center, Inc. practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Orange Grove Center, Inc. is 1073668653. The last update date is 2015-07-24.
Orange Grove Center, Inc.'s current location address is 615 Derby St, Chattanooga, Tennessee. You can contact this provider via phone number 4234932906 and fax number 4234932950. The mailing address for Orange Grove Center, Inc. is 615 Derby St, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Orange Grove Center, Inc. |
|---|---|
| Address | 615 Derby St, Chattanooga, Tennessee |
| Phone Number | 4234932906 |
| Fax Number | 4234932950 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hauth K Winston |
| Telephone Number | 4234932910 |
NPI Number Detail
| NPI Number | 1073668653 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2015-07-24 |
Provider Mailing Address Detail
| Address | 615 Derby St |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374041632 |
| Phone Number | 4234932906 |
| Fax Number | 4234932950 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 26723 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3070512 | TN | BCBS ID | |
| CH3763 | TN | RR MEDICARE | |
| 3399927 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Orange Grove Center, Inc. by the Centers for Medicare & Medicaid Services?
The Orange Grove Center, Inc. has been assigned the NPI (National Provider Identifier) 1073668653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Orange Grove Center, Inc.'s facilities are geographically located?
The facilities of Orange Grove Center, Inc. are physically situated at the following location: 615 Derby St, Chattanooga, TN, 374041632.
What is Orange Grove Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Orange Grove Center, Inc.'s area of specialization is Adult Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073668653 to Orange Grove Center, Inc.?
The Orange Grove Center, Inc. received its 1073668653 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the Orange Grove Center, Inc.'s information last updated?
The Orange Grove Center, Inc.'s information was last updated on 2015-07-24.
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