Eastside Internal Medicine Pc in Chattanooga - Health Service
Eastside Internal Medicine Pc - NPI 1427112259
Eastside Internal Medicine Pc is a Health Service in Chattanooga, Tennessee. Eastside Internal Medicine Pc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Eastside Internal Medicine Pc is 1427112259. The last update date is 2011-10-12.
Eastside Internal Medicine Pc's current location address is Po Box 21090, Chattanooga, Tennessee. You can contact this provider via phone number 4236488110 and fax number 4234434297. The mailing address for Eastside Internal Medicine Pc is Po Box 21090, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside Internal Medicine Pc |
|---|---|
| Address | Po Box 21090, Chattanooga, Tennessee |
| Phone Number | 4236488110 |
| Fax Number | 4234434297 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Alay Roger |
| Telephone Number | 4236488110 |
NPI Number Detail
| NPI Number | 1427112259 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2011-10-12 |
Provider Mailing Address Detail
| Address | Po Box 21090 |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374240090 |
| Phone Number | 4236488110 |
| Fax Number | 4234434297 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | 31560 |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3888401 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eastside Internal Medicine Pc?
The Eastside Internal Medicine Pc has been issued the NPI (National Provider Identifier) 1427112259 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Eastside Internal Medicine Pc is physically located?
The Eastside Internal Medicine Pc is situated at the following address: Po Box 21090, Chattanooga, TN 374240090.
What is the Eastside Internal Medicine Pc's specialty and taxonomy code?
The Eastside Internal Medicine Pc's specialty is Health Service, and the corresponding taxonomy code is 261Qh0100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1427112259 to Eastside Internal Medicine Pc?
The Centers for Medicare & Medicaid Services assigned the 1427112259 to Eastside Internal Medicine Pc on 2006-12-19.
As of what date were the details related to Eastside Internal Medicine Pc most recently updated or revised?
The information pertaining to Eastside Internal Medicine Pc, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-12.