Organization Active NPI

Tennesee Department of Health

Doing business as State of Tennessee

  • Public Health or Welfare Agency
  • Chattanooga, TN
National Provider Identifier
1265570600
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TENNESEE DEPARTMENT OF HEALTH
Doing business as
State of Tennessee
TBC-Southeast Region Department of Health
Practice address
1501 Riverside Dr Ste 120
Chattanooga, TN 37406-4332
Phone
(423) 634-3110
Fax
(423) 634-5848
NPI assigned
Feb 1, 2007
Last updated
Sep 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard Wayne McCarthy, MBA
Title
Accounting Manager
Phone
(423) 634-5832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1501 Riverside Dr Ste 120
Chattanooga, TN 37406-4332

Mailing address

1301 Riverfront Pkwy Ste 209
Chattanooga, TN 37402-3312
Phone (423) 634-5832

Other names 2

  • STATE OF TENNESSEE Doing business as
  • TBC-Southeast Region Department of Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kingsport Health Center202 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1501 Riverside Dr
Ste 120
Chattanooga, TN 37406
Phone (423) 634-3110

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1265570600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 RIVERFRONT PKWY STE 209",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374023312",
            "telephone_number": "423-634-5832",
            "fax_number": "423-634-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 RIVERSIDE DR STE 120",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374064332",
            "telephone_number": "423-634-3110",
            "fax_number": "423-634-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESEE DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "423-634-5832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STATE OF TENNESSEE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TBC-Southeast Region Department of Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TBC-Southeast Region Department of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.