NPIMap

Organization Active NPI

Resurrection Health

  • Community Health Clinic/Center
  • Memphis, TN
National Provider Identifier
1295136349
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
RESURRECTION HEALTH
Practice address
4095 American Way
Memphis, TN 38118-8339
Phone
(901) 828-3370
NPI assigned
Sep 9, 2014
Last updated
Mar 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard Nathaniel Donlon, M.D.NPI 1285682849
Title
Chief Executive Officer
Phone
(901) 267-9821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

4095 American Way
Memphis, TN 38118-8339

Mailing address

4095 American Way
Suite 1
Memphis, TN 38118-8339
Phone (901) 828-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295136349. Details of each certification follow.

  • CCN 441979 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 441979

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHEROKEE HEALTH SYSTEMS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 1, 2017
Last certification
Aug 1, 2017
Ownership / control type
For profit – corporation
Facility address
4095 American Way, Suite 1
Memphis, TN 38118

National Provider Directory

National Provider Directory

Locations

4095 American Way
Memphis, TN 38118
Phone (901) 271-9500

4095 American Way
Ste 1
Memphis, TN 38118
Phone (901) 271-9500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1295136349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 AMERICAN WAY",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381188339",
            "telephone_number": "901-828-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 AMERICAN WAY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381188339",
            "telephone_number": "901-828-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "DONLON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "901-267-9821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.