| Organization Name: | CHOTA COMMUNITY HEALTH SERVICES |
| NPI Number: | 1801834221 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CINDY GRAY (CREDENTIALING) |
| Mailing Address: | 412 Hunt St Tellico Plains |
| State: | TN US |
| Postal Code: | 373855046 |
| Phone Number: | 4232536545 |
| Fax Number: | 4232536538 |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 02/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |