Organization
STATE OF TENNESSEE STATE F & A PAYROLL
Active
Other names
MEMPHIS MENTAL HEALTH INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
DONNY HORNSBY (FISCAL DIRECTOR)
(731) 228-0869
Entity
Organization
Contact information
Practice address
951 COURT AVE, MEMPHIS, TN 38103-2813
(901) 577-1800
(901) 527-1331
Mailing address
951 COURT AVE, MEMPHIS, TN 38103-2813
(901) 577-1800
(901) 527-1331
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
L000000017094
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444001
—
TN
Enumeration date
10/24/2006
Last updated
11/29/2017
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