# VANDERBILT UNIVERSITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366679276
- **Authorized official:** MS. JERITA PAYNE (CLINICAL MANAGER)
- **Authorized official phone:** (615) 936-0431

## Contact information

- **Practice address:** 1313 21ST AVE S, 912 OXFORD HOUSE, NASHVILLE, TN 37232-0001
- **Practice address phone:** (615) 936-0693
- **Practice address fax:** (615) 936-0697
- **Mailing address:** 1313 21ST AVE S, 912 OXFORD HOUSE, NASHVILLE, TN 37232-0001
- **Mailing address phone:** (615) 936-0693
- **Mailing address fax:** (615) 936-0697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 014107 | TN | Yes |

## Other

- **Enumeration date:** 06/18/2009
- **Last updated:** 06/18/2009