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1558365890

NPI Code Detail

MEDICARE: METHODIST HEALTHCARE - MEMPHIS HOSPITALS

MEDICARE: METHODIST HEALTHCARE - MEMPHIS HOSPITALS

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
1	282NC2000X	Children's Hospital	0000000109	TN
2	282N00000X	General Acute Care Hospital	0000000109	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
14	442306	OTHER	TN	MEDICARE PROVIDER NUMBER - TRANSPLANT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558365890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METHODIST HEALTHCARE - MEMPHIS HOSPITALS

Provider Business Mailing Address
First Line	:	1211 UNION AVE
Second Line	:	STE 700
City	:	MEMPHIS
State	:	TN
Zip	:	38104-6600
Country	:	US
Telephone Number	:	901-516-0753
Fax Number	:	901-516-0699

Provider Business Practice Location Address
First Line	:	1265 UNION AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-3415
Country	:	US
Telephone Number	:	901-516-7000
Fax Number	:	901-516-0699

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	CHARLES LANE
Credential	:
Telephone Number	:	901-516-0962

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/20/2018

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1982662961 — DR. MICHAEL S GELFAND MD
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1154990661 — JOSHUA AKINSANYA
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Directions to “METHODIST HEALTHCARE - MEMPHIS HOSPITALS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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