Healthcare Provider Details

I. General information

NPI: 1437216694
Provider Name (Legal Business Name): METHODIST HEALTHCARE-MEMPHIS HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 NORTH DUNLAP STREET GROUND FLOOR
MEMPHIS TN
38105
US

IV. Provider business mailing address

51 NORTH DUNLAP STREET GROUND FLOOR
MEMPHIS TN
38105
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-6050
  • Fax: 901-287-6027
Mailing address:
  • Phone: 901-287-6050
  • Fax: 901-287-6027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. LARRY FOGARTY
Title or Position: VP OF FINANCE/REIMBURSEMENT
Credential:
Phone: 901-478-1057