NPIMap

Organization Active NPI

Alexian Brothers Pace

  • Point of Service
  • Chattanooga, TN
National Provider Identifier
1396091229
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
ALEXIAN BROTHERS PACE
Practice address
425 Cumberland St Ste 110
Chattanooga, TN 37404-1909
Phone
(423) 495-9126
Fax
(423) 495-9145
NPI assigned
Jul 30, 2012
Last updated
Jul 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Criss Grant
Title
Dir.Planning and Communication
Phone
(423) 698-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

425 Cumberland St Ste 110
Chattanooga, TN 37404-1909

Mailing address

425 Cumberland St Ste 110
Chattanooga, TN 37404-1909
Phone (423) 495-9126

Other identifiers 1

IdentifierTypeStateIssuer
BSW0000000500OtherTNDIVISION OF HEALTH RELATED BOARDS

National Provider Directory

National Provider Directory
Tax ID family
Alexian Brothers Pace6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1396091229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CUMBERLAND ST STE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041909",
            "telephone_number": "423-495-9126",
            "fax_number": "423-495-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CUMBERLAND ST STE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041909",
            "telephone_number": "423-495-9126",
            "fax_number": "423-495-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIAN BROTHERS PACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "CRISS",
        "authorized_official_title_or_position": "DIR.PLANNING AND COMMUNICATION",
        "authorized_official_telephone_number": "423-698-0802"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF HEALTH RELATED BOARDS",
            "identifier": "BSW0000000500",
            "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 Jul 30, 2012; 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.