Volunteer State Health Plan

Key facts

NPI

1467784348

Entity type

Organization (NPI type 2)

Primary specialty

Health Maintenance Organization 302R00000X

License

302R00000X (TN)

Legal business name

VOLUNTEER STATE HEALTH PLAN

Practice address

1 Cameron Hill Cir
Chattanooga, TN 37402-9815

Phone

(423) 535-5600

NPI assigned

Feb 3, 2010

Organization subpart

Yes

Parent organization (as reported)

BLUECROSS BLUESHIELD OF TENNESSEE, INC

Authorized official

Name

Mrs. Sonya Nelson

Title

President & Chief Executive Officer

Phone

(423) 535-7767

National Provider Directory

Part of

Blue Cross Oftennessee

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2010.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1467784348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CAMERON HILL CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374029815",
            "telephone_number": "423-535-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAMERON HILL CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374029815",
            "telephone_number": "423-535-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEER STATE HEALTH PLAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUECROSS BLUESHIELD OF TENNESSEE, INC",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "423-535-7767",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TN",
            "license": "302R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

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• Carlton Mark Vollberg, DO
• Volunteer Behavioral Health Care System
• Volunteer Treatment Center, LLC
• Dorothy D Volz, APN
• Samantha Vonderhaar
• Arthur J Vonwerssowetz, M.D.
• Megan D. Vonwerssowetz, NP

All providers in Chattanooga, TN · Health Maintenance Organization in Tennessee