Provider Demographics
NPI:1821317629
Name:CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY
Other - Org Name:ERLANGER BLEDSOE-INTERNAL MEDICINE & PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:BREXLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-778-4767
Mailing Address - Street 1:975 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2147
Mailing Address - Country:US
Mailing Address - Phone:423-778-4767
Mailing Address - Fax:423-778-4833
Practice Address - Street 1:136 WHEELERTOWN AVE
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37367
Practice Address - Country:US
Practice Address - Phone:423-778-4767
Practice Address - Fax:423-778-4833
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health