Healthcare Provider Details

I. General information

NPI: 1225179468
Provider Name (Legal Business Name): VANDERBILT UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 12/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 MURFREESBORO ROAD
FRANKLIN TN
37064
US

IV. Provider business mailing address

4163 VILLAGE AT VANDERBILT
NASHVILLE TN
37232-8678
US

V. Phone/Fax

Practice location:
  • Phone: 615-791-7373
  • Fax: 615-595-0626
Mailing address:
  • Phone: 615-322-3573
  • Fax: 615-936-6095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: C. WRIGHT PINSON
Title or Position: CHIEF MEDICAL OFFICER
Credential: M.D.
Phone: 615-322-3573