Provider Demographics
NPI:1205882529
Name:HEALTHFORCE CORPORATION
Entity type:Organization
Organization Name:HEALTHFORCE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUGHRABI
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:423-870-1662
Mailing Address - Street 1:PO BOX 22696
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37422-2696
Mailing Address - Country:US
Mailing Address - Phone:423-870-1662
Mailing Address - Fax:423-877-4845
Practice Address - Street 1:5000 ALPHA LN
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4054
Practice Address - Country:US
Practice Address - Phone:423-870-1662
Practice Address - Fax:423-877-4845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4031418OtherBLUE CROSS
TN3376919Medicaid
TNDA8141OtherRAILROAD MEDICARE
TN4031418OtherBLUE CROSS
TN3376919Medicare ID - Type Unspecified