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) 516-4000
Mailing address
1211 UNION AVE, SUITE 600, MEMPHIS, TN 38104-6638
(901) 516-0696
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000047
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440168
—
TN
Enumeration date
07/05/2005
Last updated
04/16/2014
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