Organization
METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LANE (CHIEF FINANCIAL OFFICER)
(901) 516-0962
Entity
Organization
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-7000
(901) 516-0699
Mailing address
1211 UNION AVE, STE 700, MEMPHIS, TN 38104-6600
(901) 516-0753
(901) 516-0699
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000109
TN
282NC2000X
Children's Hospital
0000000109
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020469
—
MS
05
—
010852713
—
MO
05
—
01620160
—
KY
05
—
0440049
—
TN
05
—
072829701
—
TX
05
—
0902965
—
IA
05
—
096711400
—
FL
05
—
100034980A
—
IN
05
—
100106430 B
—
KS
05
—
107115105
—
AR
05
—
1738051
—
LA
05
—
322834
—
AZ
05
—
4400049
—
NC
01
—
442306
MEDICARE PROVIDER NUMBER - TRANSPLANT
TN
05
—
4687460
—
MI
05
—
4687470
—
MI
05
—
MET0049N
—
AL
05
—
UM01972847
—
CO
Enumeration date
06/01/2005
Last updated
12/20/2018
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