CHOTA COMMUNITY HEALTH SERVICES; NPI #1801834221

Contact Information

CHOTA COMMUNITY HEALTH SERVICES

145 FIFTH STREET
TELLICO PLAINS, TN 37385-5046

Phone: 423-253-6545
Fax: 423-253-6538
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for CHOTA COMMUNITY HEALTH SERVICES

NPI Number 1801834221

LBN Legal business name CHOTA COMMUNITY HEALTH SERVICES

Authorized official PENNY SELF - (CREDENTIALING)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/04/2006

Last updated 06/09/2025 - About 12 months ago

Identifiers

TN	Medicaid	0441903
TN	Medicaid	1510837
TN	Medicaid	3724536

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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