SOUTHEAST COMMUNITY SERVICE AGENCY (NPI# 1639215171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639215171 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST COMMUNITY SERVICE AGENCY |
| Practice Address |
1501 Riverside Dr 105 Chattanooga TN 37406-4309 |
| Practice Telephone | 4236346966 |
| Practice Fax Number | 4236346120 |
| Mailing Telephone | 4236346966 |
| Mailing Fax Number | 4236346120 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | MS. RESHONDA SHANAY GOINS (COORDINATOR) |
| Authorized Official Telephone | 4236346966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347E00000X | Transportation Broker | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | T000208 | 05 |
| Street Address |
1501 RIVERSIDE DR 105 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37406-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295713493 | Laboratory Corporation of America | Clinical Medical Laboratory | 1501 Riverside Dr, Chattanooga, TN 37406-4309 | 2006-01-06 |
| 1619416971 | Jacqueline A Reid | Respiratory Therapist, Certified | 1501 Riverside Dr, Suite 350, Chattanooga, TN 37406-4309 | 2017-02-20 |
| 1821459876 | Rachel Yonkman | Registered Nurse | 1501 Riverside Dr, Suite 120, Chattanooga, TN 37406-4309 | 2016-03-17 |
| 1861734659 | Continuumrx of Southeast Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 1501 Riverside Dr, Suite 220, Chattanooga, TN 37406-4309 | 2013-03-20 |
| 1700139037 | Melissa Lynn Lacourse | Registered Nurse | 1501 Riverside Dr, Suite 120, Chattanooga, TN 37406-4309 | 2012-10-24 |
| 1124385919 | Continuumrx, Inc. | Clinic/Center | 1501 Riverside Dr, Suite 220, Chattanooga, TN 37406-4309 | 2012-04-18 |
| 1972815470 | Melissa Ann Evans | Radiologic Technologist | 1501 Riverside Dr, Suite 120, Chattanooga, TN 37406-4309 | 2010-07-13 |
| 1780914846 | Amelia Ruth Wieand | Registered Nurse | 1501 Riverside Dr, Suite 120, Chattanooga, TN 37406-4309 | 2010-01-12 |
| 1396952461 | Ellen Stanphill Cline | Physical Therapist | 1501 Riverside Dr, Ste. 270, Chattanooga, TN 37406-4309 | 2007-05-17 |
| 1225244932 | Melissa Gilbert Brown | Physical Therapy Assistant | 1501 Riverside Dr, Ste 270, Chattanooga, TN 37406-4309 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497263164 | Care Med Ambulance LLC | Ambulance | 2511 Riverside Dr Ste B5, Chattanooga, TN 37406 | 2018-01-16 |
| 1124499959 | Maria Elena Ramantanin | Special Hospital | 2132 Amnicola Hwy, Chattanooga, TN 37406 | 2015-10-20 |
| 1790064087 | Eunice Storey Group Home | Specialist | 2016 Milne Street, Chattanooga, TN 37406 | 2011-08-04 |
| 1740512177 | Erin Michelle Harper | Nurse Practitioner | 1200 Dodson Avenue, Chattanooga, TN 37406 | 2010-02-10 |
| 1306047170 | Mary Nicole Crittenden | Physical Therapist | 1501 Riverside Dr. Suite 270, Chattanooga, TN 37406 | 2007-05-30 |
| 1083836761 | Mercury Cab Co. | Taxi | 901 Dodson Ave, Chattanooga, TN 37406 | 2007-05-03 |
| 1558491902 | Breezie Finley | Nurse Practitioner | 3167 Elmendorf Circle, Chattanooga, TN 37406 | 2007-03-06 |
| 1356400824 | Rebecca Lee Ingle Holden | Chiropractor | 4289 Bonny Oaks Dr Ste 107, Chattanooga, TN 37406 | 2006-12-08 |
| 1033195110 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 1501 Riverside Dr Ste 340, Chattanooga, TN 37406 | 2005-12-20 |
| 1982254991 | Sage Lauren Hutchison | Behavioral Analyst | 2826 Amnicola Hwy, Chattanooga, TN 37406 | 2019-09-12 |
| Find all providers in zip 37406 | ||||
| Taxonomy Code | 347E00000X |
| Grouping | Transportation Services |
| Classification | Transportation Broker |
| A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324337 | Reliable Medical Transportation | Transportation Broker | 1918 Randolph St, Chattanooga, TN 37404-5319 | 2020-07-22 |
| 1982253977 | Cassandra Renee Ford | Transportation Broker | 2712 Benton Ave, Chattanooga, TN 37406-3620 | 2019-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150987 | Gerald Adrian Wright Jr. | Transportation Broker | 3400 Jenkins St, Memphis, TN 38118-5204 | 2020-09-28 |
| 1396373338 | Smith Ryders,llc | Transportation Broker | 332 Cedarview Dr, Nashville, TN 37211-6623 | 2020-03-27 |
| 1932730926 | Royalty Transportation, LLC | Transportation Broker | 4849 Hodge Rd, Memphis, TN 38109-6836 | 2020-01-29 |
| 1770045148 | Candace Rochelle Birdine | Transportation Broker | 2415 Woodale Ln, Nashville, TN 37207-3840 | 2019-04-03 |
| 1437613775 | Dds Non-emergency Transportation Service | Transportation Broker | 1735 Delano Ave Apt 21, Memphis, TN 38127-8605 | 2019-01-30 |
| 1821560426 | Johnetta Shanta Allen | Transportation Broker | 1904 Ashton Ave, Nashville, TN 37218-2620 | 2018-12-19 |
| 1659879252 | Hummingbird Transport LLC | Transportation Broker | 1305 Stonewall, Memphis, TN 38108-3810 | 2018-01-29 |
| 1932615556 | Superior Carrier, LLC | Transportation Broker | 192 Princeton Pl, Jackson, TN 38305-7548 | 2017-12-19 |
| 1376071514 | Marcus Bell | Transportation Broker | 4518 Tall Meadow Cv, Bartlett, TN 38135-1331 | 2017-06-01 |
| 1669906723 | D&v Transportation | Transportation Broker | 6462 Raner Creek Dr, Arlington, TN 38002-4807 | 2017-04-16 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37406 |
Please comment or provide details below to improve the information on SOUTHEAST COMMUNITY SERVICE AGENCY.
| 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.