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ALEXIAN BROTHERS PACE NPI 1396091229


NPI Information

NPI: 1396091229
Provider Name: ALEXIAN BROTHERS PACE
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
425 CUMBERLAND ST STE 110
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 495-9126
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ALEXIAN BROTHERS PACE is a point of service in Chattanooga, TN. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. ALEXIAN BROTHERS PACE NPI is 1396091229. The provider is registered as an organization entity type.

The provider's business location address is:

425 CUMBERLAND ST STE 110
CHATTANOOGA, TN
ZIP 37404-909
Phone: (423) 495-9126
Fax: (423) 495-9145

The provider's authorized official is Criss Grant .
The authorized official title is Dir.planning And Communication and has the following contact phone number (423) 698-0802.

The enumeration date for this NPI number is 7/30/2012 and was last updated on 7/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BSW0000000500OTHERTENNESSEEDIVISION OF HEALTH RELATED BOARDS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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