ORANGE GROVE CENTER PRIMARY HEALTH CARE SERVICES - NPI 1073668653

Q: What is Orange Grove Center, Inc.'s NPI number?

The NPI number for Orange Grove Center, Inc. is 1073668653. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is doing business as Orange Grove Center Primary Health Care Services.

Q: What is Orange Grove Center, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

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About Orange Grove Center Primary Health Care Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORANGE GROVE CENTER PRIMARY HEALTH CARE SERVICES (NPI 1073668653) is a healthcare organization registered as an adult medicine in Chattanooga, Tennessee and active in the NPI registry since January 2007. The organization lists Tera Roberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073668653

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameORANGE GROVE CENTER, INC.

Location Address615 DERBY STChattanooga, TN 37404-1632

Mailing Address615 Derby St, Attention: Health Informatics & ReimbursementChattanooga, TN 37404-1632 · (423) 493-2906 · Fax (423) 493-2950

Phone(423) 493-2905

Fax(423) 493-2950

Organization SubpartYes

Authorized OfficialTera RobertsCeo · (423) 493-2910

Enumeration DateJanuary 24, 2007

Last NPPES UpdateMarch 4, 2024

NPPES CertifiedFebruary 22, 2024

✔ NPI 1073668653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in TN · 26723

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 8686 (TN)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 13774 (TN)

615 DERBY ST, Chattanooga, TN 37404

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Other Names 1

Doing Business AsOrange Grove Center Primary Health Care Services

Other Identifiers 3

OtherCH3763TN · Rr Medicare

Other3070512TN · Bcbs Id

Medicaid3399927TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORANGE GROVE CENTER, INC.

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