National Provider Identifier Database

SOUTHEAST COMMUNITY SERVICE AGENCY
Transportation Broker

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 tickets, and secured transportation.


Contact Information

SOUTHEAST COMMUNITY SERVICE AGENCY
1501 RIVERSIDE DR
105
CHATTANOOGA, TN37406-4309
Phone: 423-634-6966
Fax: 423-634-6120
Website:
Specialty Taxonomy Code
* Transportation Broker 347E00000X

* Indicates primary specialty

NPI Profile & details for SOUTHEAST COMMUNITY SERVICE AGENCY

NPI Number 1639215171
Legal business name
LBN
SOUTHEAST COMMUNITY SERVICE AGENCY
Authorized official RESHONDA GOINS - (COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 01/30/2007
Last updated 07/13/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: T000208

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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