Healthcare Provider Details

I. General information

NPI: 1215971700
Provider Name (Legal Business Name): BAPTIST REHABILITATION GERMANTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 EXETER RD
GERMANTOWN TN
38138-3922
US

IV. Provider business mailing address

161 LEAF TRAIL CT
CORDOVA TN
38018-2901
US

V. Phone/Fax

Practice location:
  • Phone: 901-737-0886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number11654
License Number StateTN

VIII. Authorized Official

Name: ARTHUR MAPLES
Title or Position: DIRECTOR OF GOVERNMENT RELATIONS
Credential:
Phone: 901-227-4137