OrganizationActive
Chattanooga Hamilton County Hospital Authority
NPI 1962597179 · Federally Qualified Health Center (FQHC) · Chattanooga, TN
Provider details
- NPI number
- 1962597179
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mike Shaver, Director of Reimbursement(423) 240-8576
- License
- 0000000140 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3800 Tennessee Ave Ste 124
Chattanooga, TN 37409-1260
Phone: (423) 778-4780
Fax: (423) 778-4833
Approximate (ZIP-level) locationGet directions
Mailing address
975 E Third Street
Chattanooga, TN 37403
Other names (DBA / former)
- Doing business as
- South Side Community Health
- Doing business as
- South Side Community Health
- Doing business as
- Southside Community Health Center
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2022-03-10
- Certified
- 2022-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.