Organization
METHODIST EXTENDED CARE HOSPITAL
Active
Other names
Methodist Extended Care Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA BAILEY (ADMINISTRATOR/CEO)
(901) 516-2215
Entity
Organization
Contact information
Practice address
225 SOUTH CLAYBROOK, MEMPHIS, TN 38104
(901) 516-2152
(901) 516-2022
Mailing address
225 SOUTH CLAYBROOK, MEMPHIS, TN 38104
(901) 516-2152
(901) 516-2022
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
0000000146
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220567
—
MS
05
—
0440212
—
TN
05
—
14779409
—
MO
05
—
152473105
—
AR
01
—
3099538
BLUE CROSS
TN
01
—
3155193
BLUE CROSS-FEDERAL
TN
Enumeration date
10/17/2006
Last updated
02/03/2012
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