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Organization

THE UNIVERSITY OF TENNESSEE AT CHATTANOOGA

Active
Parent organization
THE UNIVERSITY OF TENNESSEE
Other names
UTC Student Health Services
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2016-303-1
UNITED HEALTHCARE STUDENT RESOURCE PLAN (UHCSR)
TN
Enumeration date
05/10/2016
Last updated
05/10/2016
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