Provider Demographics
NPI:1336850163
Name:ESSENTIAL ACCESS HEALTHCARE, LLC
Entity type:Organization
Organization Name:ESSENTIAL ACCESS HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-508-8837
Mailing Address - Street 1:422 MAGNOLIA VALE DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37419-2186
Mailing Address - Country:US
Mailing Address - Phone:423-304-2401
Mailing Address - Fax:
Practice Address - Street 1:200 ROWLAND DRIVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:AL
Practice Address - Zip Code:35740
Practice Address - Country:US
Practice Address - Phone:256-695-4495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital