Provider Demographics
NPI:1457368524
Name:CHATTANOOGA CARES, INC.
Entity Type:Organization
Organization Name:CHATTANOOGA CARES, INC.
Other - Org Name:CEMPA COMMUNITY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-648-9915
Mailing Address - Street 1:1000 EAST THIRD STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2153
Mailing Address - Country:US
Mailing Address - Phone:423-648-9939
Mailing Address - Fax:423-648-9935
Practice Address - Street 1:1000 EAST THIRD STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2153
Practice Address - Country:US
Practice Address - Phone:423-648-9939
Practice Address - Fax:423-648-9935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy