University Health Center

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

UNIVERSITY HEALTH CENTER

Practice address

4687 University Drive
Ooltewah, TN 37363

Phone

(423) 236-2713

Fax

(423) 236-2713

NPI assigned

Sep 5, 2019

Organization subpart

No

Name

Candace Wing, RN

Title

Director

Phone

(423) 236-2713

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle S. Mix, FNP

  • Family Nurse Practitioner
  • College Dale, TN
  • NPI 1326319013
  NPD (past)

• Southern Adventist University Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 5, 2019.

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1487203196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "COLLEGEDALE",
            "state": "TN",
            "postal_code": "37315",
            "telephone_number": "423-236-2713",
            "fax_number": "423-236-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4687 UNIVERSITY DRIVE",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-236-2713",
            "fax_number": "423-236-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "WING",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-236-2713",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Adventist University",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyshar Truevillian
• Trumedical Solutions, LLC
• Katherine Mui Tun, MD
• Amanda Twomley
• Uderm, PLLC
• Oriona Van Dolson, CPM-TN
• Anna Van Valkenburgh
• Jason R Vance, M.D.
• Gregory Vanfossen, N.P.
• Kimberly Viola

• All providers in Ooltewah, TN
• Student Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.