Healthcare Provider Details

I. General information

NPI: 1649654450
Provider Name (Legal Business Name): METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 07/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7691 POPLAR AVE
GERMANTOWN TN
38138-3904
US

IV. Provider business mailing address

1211 UNION AVE STE 700
MEMPHIS TN
38104-6600
US

V. Phone/Fax

Practice location:
  • Phone: 901-516-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number0000000109
License Number StateTN

VIII. Authorized Official

Name: CHRIS MCLEAN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 901-516-0753