Healthcare Provider Details

I. General information

NPI: 1386709871
Provider Name (Legal Business Name): METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 ADAMS AVE
MEMPHIS TN
38103-2816
US

IV. Provider business mailing address

848 ADAMS AVE
MEMPHIS TN
38103-2816
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-5437
  • Fax:
Mailing address:
  • Phone: 901-287-5437
  • 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: MR. CHRIS MCLEAN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 901-516-0696