MEDICARE: UNITED NEIGHBORHOOD 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
1	261QF0400X	Federally Qualified Health Center (FQHC)		TN

General Provider Information

NPI Number	:	1639546187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED NEIGHBORHOOD HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	2711 FOSTER AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37210-5307
Country	:	US
Telephone Number	:	615-620-8647
Fax Number	:	615-515-5773

Provider Business Practice Location Address
First Line	:	3904 GALLATIN PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216
Country	:	US
Telephone Number	:	615-227-3000
Fax Number	:	615-515-5773

Authorized Official
Title or Position	:	CEO
Name	:	BRIAN HAILE
Credential	:
Telephone Number	:	615-227-3000

Provider Enumeration Date	:	08/31/2015
Last Update Date	:	01/10/2019

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