Provider Demographics
NPI:1588351951
Name:ONE TO ONE HEALTH
Entity type:Organization
Organization Name:ONE TO ONE HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:IMPLEMENTATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-602-9530
Mailing Address - Street 1:1067 RIVERFRONT PKWY
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2194
Mailing Address - Country:US
Mailing Address - Phone:423-602-9530
Mailing Address - Fax:
Practice Address - Street 1:586 FULLING MILL RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057-2966
Practice Address - Country:US
Practice Address - Phone:717-616-3318
Practice Address - Fax:717-310-9255
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONE TO ONE HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-18
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care