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Chattanooga State Community College Student Health Clinic

Clinic/Center in Chattanooga, TN. Organization (NPI-2).

NPI number1447066089
StatusActive
Last updated in NPPESDec 9, 2024

Details

NPI
1447066089
Entity type
Organization (NPI-2)
Legal business name
Chattanooga State Community College Student Health Clinic
Organization subpart
No
Enumeration date
Dec 9, 2024
Certification date
Dec 5, 2024
Last updated
Dec 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

4501 Amnicola Highway
Student Center Suite 133
Chattanooga, TN 37406

Phone 423-697-5522

Mailing address

4501 Amnicola Highway
Student Center Suite 133
Chattanooga, TN 37406

Phone 423-697-5522

Authorized official

Heather Montgomery
Director Of Student Health Services
4236975522

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