# UNIVERSITY HEALTH SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UTMCK Sleep Disorder Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275736324
- **Authorized official:** BETH A MAYNARD (VICE PRESIDENT)
- **Authorized official phone:** (865) 305-6427

## Contact information

- **Practice address:** 1924 ALCOA HWY, STE 119, KNOXVILLE, TN 37920-1511
- **Practice address phone:** (865) 544-8779
- **Practice address fax:** (865) 544-9869
- **Mailing address:** PO BOX 415000-MSC8158, NASHVILLE, TN 37241-8158
- **Mailing address phone:** (865) 670-6199
- **Mailing address fax:** (865) 670-6198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 06/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32851411 | — | TN |