MEDICARE: METHODIST HEALTHCARE

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	282NC2000X	Children's Hospital	0000000109	TN
2	282N00000X	General Acute Care Hospital	0000000109	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
14	442306	OTHER	TN	MEDICARE PROVIDER NUMBER - TRANSPLANT

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558365890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METHODIST HEALTHCARE - MEMPHIS HOSPITALS

Provider Business Mailing Address
First Line	:	1211 UNION AVE
Second Line	:	STE 700
City	:	MEMPHIS
State	:	TN
Zip	:	38104-6600
Country	:	US
Telephone Number	:	901-516-0753
Fax Number	:	901-516-0699

Provider Business Practice Location Address
First Line	:	1265 UNION AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-3415
Country	:	US
Telephone Number	:	901-516-7000
Fax Number	:	901-516-0699

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	CHARLES LANE
Credential	:
Telephone Number	:	901-516-0962

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/20/2018

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