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NPI Code Detail

MEDICARE: UNIVERSITY COMMUNITY HEALTH SERVICES, INC

MEDICARE: UNIVERSITY COMMUNITY HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner
2363LA2200XAdult Health Nurse Practitioner
3363LF0000XFamily Nurse Practitioner
4363LP0200XPediatric Nurse Practitioner
5363LP0808XPsychiatric/Mental Health Nurse Practitioner
6261QC1500XCommunity Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275634818
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY COMMUNITY HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 601 BENTON AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2303
Country : US
Telephone Number : 615-292-9770
Fax Number : 615-385-1842
Provider Business Practice Location Address
First Line : 601 BENTON AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2303
Country : US
Telephone Number : 615-292-9770
Fax Number : 615-385-1842
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : ASHANTI WEAVER
Credential :
Telephone Number : 615-649-5709
Provider Enumeration Date : 09/26/2006
Last Update Date : 11/06/2024

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1922114859 — MARY SUZANNE HURLEY APRN, BC
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1053429118 — CAROLINE PORTIS JENKINS MSN, FNP-BC
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1154422707 — UNIVERSITY COMMUNITY HEALTH SERVICES, INC
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1346337441 — ELAINE M MOORE CNM
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Directions to “UNIVERSITY COMMUNITY HEALTH SERVICES, INC ” Practice Location

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