Organization Active NPI

Lookout Valley Medical Center, LLC

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1386686913
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOOKOUT VALLEY MEDICAL CENTER, LLC
Practice address
3309 Cummings Hwy
Suite a
Chattanooga, TN 37419-2360
Phone
(423) 648-4800
NPI assigned
Jun 11, 2006
Organization subpart
Yes
Parent organization
HTI HOSPITAL HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Chuck Locke
Title
VP
Phone
(423) 648-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3309 Cummings Hwy
Suite a
Chattanooga, TN 37419-2360

Mailing address

3309 Cummings Hwy
Suite a
Chattanooga, TN 37419-2360
Phone (423) 648-4800

Other identifiers 1

IdentifierTypeStateIssuer
3729953MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1386686913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 CUMMINGS HWY",
            "address_2": "SUITE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374192360",
            "telephone_number": "423-648-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 CUMMINGS HWY",
            "address_2": "SUITE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374192360",
            "telephone_number": "423-648-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKOUT VALLEY MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HTI HOSPITAL HOLDINGS, INC.",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "423-648-4800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729953",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 2007; 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.