# THE UNIVERSITY OF TENNESSEE AT CHATTANOOGA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE UNIVERSITY OF TENNESSEE
- **Other names:** UTC Student Health Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619323599
- **Legal business name:** THE UNIVERSITY OF TENNESSEE
- **Authorized official:** BLAKE ALAN REAGAN J.D. (DIRECTOR OF PROCURMENT SERVICES)
- **Authorized official phone:** (865) 974-3311

## Contact information

- **Practice address:** 615 MCCALLIE AVE, DEPT. 6856, CHATTANOOGA, TN 37403-2504
- **Practice address phone:** (423) 425-2266
- **Practice address fax:** (423) 425-2305
- **Mailing address:** 615 MCCALLIE AVE, DEPARTMENT 6856, CHATTANOOGA, TN 37403-2504
- **Mailing address phone:** (423) 425-4111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 390200000X | Student in an Organized Health Care Education/Training Program | 523RPWMF1 | TN | Yes |

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 05/10/2016