Southeast Community Service Agency in Chattanooga - Transportation Broker
Southeast Community Service Agency - NPI 1639215171
Southeast Community Service Agency is a Transportation Broker in Chattanooga, Tennessee. Southeast Community Service Agency practices all healthcare services and medical treatments related to Transportation Broker. The NPI Number for Southeast Community Service Agency is 1639215171. The last update date is 2007-07-13.
Southeast Community Service Agency's current location address is 1501 Riverside Dr, Chattanooga, Tennessee. You can contact this provider via phone number 4236346966 and fax number 4236346120. The mailing address for Southeast Community Service Agency is 1501 Riverside Dr, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Community Service Agency |
|---|---|
| Address | 1501 Riverside Dr, Chattanooga, Tennessee |
| Phone Number | 4236346966 |
| Fax Number | 4236346120 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COORDINATO |
|---|---|
| Authorized Official Name | Goins Shanay Reshonda |
| Telephone Number | 4236346966 |
NPI Number Detail
| NPI Number | 1639215171 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 1501 Riverside Dr |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374064309 |
| Phone Number | 4236346966 |
| Fax Number | 4236346120 |
Provider's Primary Taxonomy Detail
| Speciality | Transportation Broker |
|---|---|
| Taxonomy | 347E00000X |
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Definition: An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and ti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| T000208 | TN | -- |
Post Comment/ Review Below
What is the Southeast Community Service Agency's unique identification number?
The Southeast Community Service Agency has been assigned the NPI (National Provider Identifier) Number 1639215171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Southeast Community Service Agency's facilities are situated?
The facilities of Southeast Community Service Agency are physically located at the following address: 1501 Riverside Dr, Chattanooga, TN, 374064309.
What is the Southeast Community Service Agency's specialty and taxonomy code?
The Southeast Community Service Agency's specialty is Transportation Broker, and the corresponding taxonomy code is 347E00000X.
On what date was the 1639215171 assigned to Southeast Community Service Agency?
The Southeast Community Service Agency was issued its 1639215171 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Southeast Community Service Agency most recently updated?
The details pertaining to the Southeast Community Service Agency, including its address, specialty, and other relevant information, were last refreshed on 2007-07-13.