Healthcare Provider Details

I. General information

NPI: 1043202088
Provider Name (Legal Business Name): METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 UNION AVE
MEMPHIS TN
38104-3415
US

IV. Provider business mailing address

PO BOX 341536
BARTLETT TN
38184-1536
US

V. Phone/Fax

Practice location:
  • Phone: 901-291-2427
  • Fax:
Mailing address:
  • Phone: 901-291-2400
  • Fax: 901-379-0771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: CHUCK LANE
Title or Position: SVP/CHIEF FINANCIAL OFFICER
Credential:
Phone: 901-478-0525