NPIMap

Organization Active NPI

Monumental Redevelopment Corporation

  • Multi-Specialty Clinic/Center
  • Memphis, TN
National Provider Identifier
1346474970
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MONUMENTAL REDEVELOPMENT CORPORATION
Practice address
1407 Union Ave
Suite 1002
Memphis, TN 38104-3627
Phone
(901) 272-2622
Fax
(901) 272-2602
NPI assigned
May 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Myrtle Toliver
Title
Provider Affairs Coordinator
Phone
(901) 461-5368

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1407 Union Ave
Suite 1002
Memphis, TN 38104-3627

Mailing address

1407 Union Ave
Suite 1002
Memphis, TN 38104-3627
Phone (901) 272-2622

Other names 1

  • Vision Behavioral Health Management Doing business as

National Provider Directory

National Provider Directory

Locations

1407 Union Ave
Ste 1002
Memphis, TN 38104
Phone (901) 272-2622

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1346474970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE",
            "address_2": "SUITE 1002",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043627",
            "telephone_number": "901-272-2622",
            "fax_number": "901-272-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE",
            "address_2": "SUITE 1002",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043627",
            "telephone_number": "901-272-2622",
            "fax_number": "901-272-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENTAL REDEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "TOLIVER",
        "authorized_official_first_name": "MYRTLE",
        "authorized_official_title_or_position": "PROVIDER AFFAIRS COORDINATOR",
        "authorized_official_telephone_number": "901-461-5368"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Behavioral Health Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.