ASSOCIATES IN WOMENS HEALTH (WOMENS HEALTH SERVICES CHATTANOOGA PC) NPI 1003001066

Specialist in Ooltewah, TN

Organization Specialist CLIA Record

About ASSOCIATES IN WOMENS HEALTH (WOMENS HEALTH SERVICES CHATTANOOGA PC)

Associates In Womens Health (womens Health Services Chattanooga Pc) is a provider established in Ooltewah, Tennessee specializing in specialist. The NPI number of Associates In Womens Health (womens Health Services Chattanooga Pc) is 1003001066 and was assigned on September 2007. The practitioner's primary taxonomy code is 174400000X with license number ========= (TN). The provider is registered as an organization and their NPI record was last updated 3 years ago. Associates In Womens Health (womens Health Services Chattanooga Pc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Associates In Womens Health.
The authorized official of this NPI record is Ms. Kim T Johnson (Office Manager)

NPI

1003001066

Provider NameASSOCIATES IN WOMENS HEALTH (WOMENS HEALTH SERVICES CHATTANOOGA PC)
Provider Location Address6845 MOUNTAIN VIEW RD OOLTEWAH, TN 37363
Provider Mailing Address6845 MOUNTAIN VIEW RD OOLTEWAH, TN 37363
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameASSOCIATES IN WOMENS HEALTH
Other Name TypeDoing Business As (3)
Enumeration Date09-12-2007
Last Update Date06-24-2016

Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.=========
License StateTN
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

ASSOCIATES IN WOMENS HEALTH (WOMENS HEALTH SERVICES CHATTANOOGA PC)
6845 MOUNTAIN VIEW RD
OOLTEWAH, TN
ZIP 37363
Phone: (423) 910-0896
Fax: (423) 910-1183

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Mailing Address

ASSOCIATES IN WOMENS HEALTH (WOMENS HEALTH SERVICES CHATTANOOGA PC)
6845 MOUNTAIN VIEW RD
OOLTEWAH, TN
ZIP 37363
Phone: (423) 910-0896
Fax: (423) 910-1183

Authorized Official

Authorized Official NameMS. KIM T JOHNSON
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(706) 861-4508

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates.

CLIA Number44D2032796
Facility TypePHYSICIAN OFFICE
Certificate TypeWaiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3721254MEDICARE PIN (08)TN
CK6229MEDICARE PIN (08)GA
GRP6522MEDICARE PIN (08)GA

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104242262 STEPHANIE HUSKINS
Individual
Obstetrics & Gynecology (Obstetrics)6845 MOUNTAIN VIEW RD
OOLTEWAH, TN 37363
(423) 910-0896
1346559895 KELLY D MYREN APN
Individual
Nurse Practitioner (Obstetrics & Gynecology)6845 MOUNTAIN VIEW RD
OOLTEWAH, TN 37363
(423) 910-0896
1700878139 MATTHEW A ROBERTS DO
Individual
Obstetrics & Gynecology6845 MOUNTAIN VIEW RD
OOLTEWAH, TN 37363
(423) 910-0896
1760960587 MARY GREEN DURLAND
Individual
Nurse Practitioner (Family)6845 MOUNTAIN VIEW RD
OOLTEWAH, TN 37363
(423) 910-0896
1932220514DR. TERRY LEE WILLIAMS JR. D.O.
Individual
Obstetrics & Gynecology6845 MOUNTAIN VIEW RD
OOLTEWAH, TN 37363
(423) 910-0895

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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