Healthcare Provider Details

I. General information

NPI: 1700870672
Provider Name (Legal Business Name): METHODIST MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 06/13/2024
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 OAK RIDGE TURNPIKE
OAK RIDGE TN
37831-2529
US

IV. Provider business mailing address

PO BOX 440457
NASHVILLE TN
37244-0457
US

V. Phone/Fax

Practice location:
  • Phone: 865-835-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0000000001
License Number StateTN

VIII. Authorized Official

Name: MR. RICK CARRINGER
Title or Position: VP, REVENUE CYCLE
Credential: CPA
Phone: 865-374-3000