MEDICARE: UNIVERSITY HEALTH SYSTEM, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician		TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235182197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY HEALTH SYSTEM, INC

Provider Business Mailing Address
First Line	:	PO BOX 415000-MSC8164
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37241-8164
Country	:	US
Telephone Number	:	865-670-6199
Fax Number	:	865-670-6198

Provider Business Practice Location Address
First Line	:	2587 WILLOW POINT WAY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37931-3162
Country	:	US
Telephone Number	:	865-694-9998
Fax Number	:	865-694-9883

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	BETH A MAYNARD
Credential	:
Telephone Number	:	865-305-6427

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	06/05/2020

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Directions to “UNIVERSITY HEALTH SYSTEM, INC ” Practice Location

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