Healthcare Provider Details

I. General information

NPI: 1053039545
Provider Name (Legal Business Name): CONTINUUM HEALTH AIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6429 LEE HWY STE 103
CHATTANOOGA TN
37421-4778
US

IV. Provider business mailing address

PO BOX 661308
DALLAS TX
75266-1308
US

V. Phone/Fax

Practice location:
  • Phone: 865-525-4886
  • Fax: 205-271-9979
Mailing address:
  • Phone: 800-665-2850
  • Fax: 833-271-9979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER MARK VANRAAM
Title or Position: COO
Credential:
Phone: 205-703-6760