Organization
METHODIST HEALTHCARE - FAYETTE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS MCLEAN (CHIEF FINANCIAL OFFICER)
(901) 516-0696
Entity
Organization
Contact information
Practice address
214 LAKEVIEW RD, SOMERVILLE, TN 38068-9737
(901) 465-3594
Mailing address
1211 UNION AVE, SUITE 600, MEMPHIS, TN 38104-6638
(901) 516-0725
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
0000000047
TN
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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