TERRACE AT MOUNTAIN CREEK NPI 1417152372

NPI Information

TERRACE AT MOUNTAIN CREEK 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. TERRACE AT MOUNTAIN CREEK NPI is 1417152372. The provider is registered as an organization entity type.

The provider's business location address is:

1005 MOUNTAIN CREEK RD
CHATTANOOGA, TN
ZIP 37405-638
Phone: (423) 874-0200
Fax: (423) 874-0358

The provider's authorized official is John Holtz .
The authorized official title is Controller and has the following contact phone number (541) 747-3373.

The CLIA number assigned to this NPI record is 44D0904249 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 5/13/2008.

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:

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