| Dodson Avenue Community Health | |
|
1200 Dodson Ave Chattanooga TN 37406 | |
| (423) 778-4780 | |
| (423) 778-4833 |
| Full Name | Dodson Avenue Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 Dodson Ave, Chattanooga, Tennessee |
| Authorized Official Name and Position | James L Brexler (PRESIDENT AND CEO) |
| Authorized Official Contact | 4237784780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dodson Avenue Community Health 975 E Third St Chattanooga TN 37403 Ph: (423) 778-4780 | Dodson Avenue Community Health 1200 Dodson Ave Chattanooga TN 37406 Ph: (423) 778-4780 |
| NPI Number | 1609961549 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 02/27/2008 |
| Medicare PECOS PAC ID | 0547179731 |
|---|---|
| Medicare Enrollment ID | O20050421001576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609961549 | NPI | - | NPPES |
| 00451492A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0000000140 (Tennessee) | Primary |
Terry W. Smith M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6237 Vance Rd, Suite 3, Chattanooga, TN 37421 Phone: 423-551-3940 Fax: 423-305-7981 | |
Liberty Healthcare Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1949 Gunbarrel Rd Ste 303, Chattanooga, TN 37421 Phone: 423-498-5839 | |
Benchmark Pt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7380 Volkswagen Dr Ste 190a, Chattanooga, TN 37416 Phone: 423-933-1672 Fax: 423-933-1675 | |
Bryn Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421 Phone: 423-541-9455 | |
Drs Kemp And Avitabile Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 632 Morrison Springs Rd, Suite 201, Chattanooga, TN 37415 Phone: 423-877-4556 Fax: 423-877-9218 | |
Carestar Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6106 Shallowford Rd, Suite 108, Chattanooga, TN 37421 Phone: 423-760-8700 Fax: 423-760-8703 | |
Chattanooga Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7480 Ziegler Rd Ste 150, Chattanooga, TN 37421 Phone: 281-429-8526 |