ALEXIAN BROTHERS PACE (NPI# 1396091229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396091229 |
| Entity Type | Organization |
| Organization Name | ALEXIAN BROTHERS PACE |
| Practice Address |
425 Cumberland St Ste 110 Chattanooga TN 37404-1909 |
| Practice Telephone | 4234959126 |
| Practice Fax Number | 4234959145 |
| Mailing Telephone | 4234959126 |
| Mailing Fax Number | 4234959145 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | CRISS GRANT (DIR.PLANNING AND COMMUNICATION) |
| Authorized Official Telephone | 4236980802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DIVISION OF HEALTH RELATED BOARDS | BSW0000000500 | 01 |
| Street Address |
425 CUMBERLAND ST STE 110 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700975075 | William David Winkles | Pharmacist | 425 Cumberland St Ste 110, Chattanooga, TN 37404-1918 | 2006-10-12 |
| 1760974430 | Cynthia Anne Young | Registered Nurse | 425 Cumberland St Ste 110, Chattanooga, TN 37404-1909 | 2018-05-30 |
| 1609367002 | Alison Sara Crane | Social Worker | 425 Cumberland St Ste 110, Chattanooga, TN 37404-1909 | 2018-05-22 |
| 1255688669 | Barbara Valmont | Social Worker | 425 Cumberland St Ste 110, Chattanooga, TN 37404-1909 | 2012-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013211812 | Colemans Home Inc. | Point of Service | 2101 S Watkins St, Chattanooga, TN 37404-5333 | 2011-01-07 |
| 1417152372 | Terrace At Mountain Creek | Point of Service | 1005 Mountain Creek Rd, Chattanooga, TN 37405-1638 | 2007-06-19 |
| 1194974303 | Volunteer Behavioral Health Care System | Point of Service | 413 Spring St, Chattanooga, TN 37405-3848 | 2008-09-11 |
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|---|---|---|---|---|
| 1821617671 | Master Remodelers LLC | Point of Service | 10820 Kingston Pike Ste 5, Knoxville, TN 37934-3065 | 2020-04-13 |
| 1477089910 | Laser Aesthetics Body and Wellness | Point of Service | 9755 Highway 64, Suite 101, Arlington, TN 38002-8579 | 2017-05-03 |
| 1518499771 | Tuesday and Company, Inc. | Point of Service | 502 N Garden St, Suite 104, Columbia, TN 38401-3238 | 2017-03-28 |
| 1134673437 | Dearing Physical Medicine | Point of Service | 201 Rosa Helm Way, Franklin, TN 37067-8408 | 2016-08-04 |
| 1386008753 | Spirit of Service Counseling & Wellness Center, LLC | Point of Service | 3568 Kearney Ave, Memphis, TN 38111-5743 | 2016-04-11 |
| 1093110546 | Blessed Homecare LLC | Point of Service | 219 Evergreen Cir, Hendersonville, TN 37075-2944 | 2014-10-27 |
| 1265854947 | Parker & Parker Dds Pa | Point of Service | 111 S Weisgarber Rd, Knoxville, TN 37919-4928 | 2014-01-14 |
| 1891131801 | Northcliff, Aclf | Point of Service | 14691 Highway 22 N, Lexington, TN 38351-4825 | 2013-05-16 |
| 1508106741 | Vick Partners LLC | Point of Service | 905 Hamlet Dr, Murfreesboro, TN 37128-5297 | 2013-02-25 |
| 1174884746 | Omni Home Health | Point of Service | 510 Hospital Dr Ste 101, Madison, TN 37115-5033 | 2012-05-31 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.