| Rosewood 3 | |
|
1510 Old Ringgold Rd Chattanooga TN 37404-5444 | |
| (423) 266-6751 | |
| (423) 763-4650 |
| Full Name | Rosewood 3 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1510 Old Ringgold Rd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Melissa Queen-pennington (CFO) |
| Authorized Official Contact | 4232666751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosewood 3 1028 E 3rd St Chattanooga TN 37403-2107 Ph: (423) 266-6751 | Rosewood 3 1510 Old Ringgold Rd Chattanooga TN 37404-5444 Ph: (423) 266-6751 |
| NPI Number | 1457588592 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 06/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457588592 | NPI | - | NPPES |
| 3399761 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L000000003955 (Tennessee) | Primary |
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