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SOUTH SIDE COMMUNITY HEALTH
NPI 1962597179
Clinic/Center - Federally Qualified Health Center (FQHC) in Chattanooga, TN

Active since October 04, 2006
3800 TENNESSEE AVE STE 124, CHATTANOOGA, TN 37409(423) 778-4780(423) 778-4833 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Side Community Health NPPES

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

SOUTH SIDE COMMUNITY HEALTH (NPI 1962597179) is a healthcare organization registered as a federally qualified health center (fqhc) in Chattanooga, Tennessee and active in the NPI registry since October 2006. The organization lists Mike Dale Shaver, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1962597179
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY
Location Address3800 TENNESSEE AVE STE 124Chattanooga, TN 37409-1260
Mailing Address975 E Third StreetChattanooga, TN 37403 · (423) 778-4780 · Fax (423) 778-4833
Phone(423) 778-4780
Fax(423) 778-4833
Organization SubpartNo
Authorized OfficialMike Dale ShaverDirector Of Reimbursement · (423) 240-8576
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 10, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1962597179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in TN · 0000000140
3800 TENNESSEE AVE STE 124, Chattanooga, TN 37409
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Other Names 2

Doing Business AsSouth Side Community Health
Doing Business AsSouthside Community Health Center

Other Identifiers 1

Medicaid000451481AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chattanooga Hamilton County Hospital Authority's NPI number?

The NPI number for Chattanooga Hamilton County Hospital Authority is 1962597179. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as South Side Community Health and Southside Community Health Center.

Where is Chattanooga Hamilton County Hospital Authority located?

Chattanooga Hamilton County Hospital Authority is located at 3800 Tennessee Ave Ste 124, Chattanooga, TN 37409. The listed phone number is (423) 778-4780.

What is Chattanooga Hamilton County Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Chattanooga Hamilton County Hospital Authority accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Chattanooga Hamilton County Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chattanooga Hamilton County Hospital Authority was last updated on March 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.