# METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** METHODIST LEBONHEUR HEATLHCARE
- **Other names:** Methodist Healthcare Sleep Disorders Center-Desoto
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962661991
- **Legal business name:** METHODIST LEBONHEUR HEATLHCARE
- **Authorized official:** MR. DOUG STOVER (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (901) 516-1724

## Contact information

- **Practice address:** 6400 SHELBY VIEW DR, SUITE 101, MEMPHIS, TN 38134-7659
- **Practice address phone:** (901) 516-1489
- **Practice address fax:** (901) 380-8081
- **Mailing address:** 5480 GOODMAN RD, SUITE 3, OLIVE BRANCH, MS 38654-7902
- **Mailing address phone:** (901) 516-1489
- **Mailing address fax:** (901) 380-8081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008