| Chota Community Health Services | |
|
145 Fifth Street Tellico Plains TN 37385-5046 | |
| (423) 253-6545 | |
| (423) 253-6538 |
| Full Name | Chota Community Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 145 Fifth Street, Tellico Plains, Tennessee |
| Authorized Official Name and Position | Penny Self (CREDENTIALING) |
| Authorized Official Contact | 4234422622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chota Community Health Services Po Box 278 Madisonville TN 37354-0278 Ph: (423) 253-6545 | Chota Community Health Services 145 Fifth Street Tellico Plains TN 37385-5046 Ph: (423) 253-6545 |
| NPI Number | 1801834221 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 07/12/2024 |
| Medicare PECOS PAC ID | 9436130135 |
|---|---|
| Medicare Enrollment ID | O20100712000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801834221 | NPI | - | NPPES |
| 0441903 | Medicaid | TN | |
| 1510837 | Medicaid | TN | |
| 3724536 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8805 New Highway 68 Unit 1, Tellico Plains, TN 37385 Phone: 423-253-3300 Fax: 423-253-3947 |