Methodist Healthcare - Fayette Hospital

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

0000000047 Issued in TN

Legal business name

METHODIST HEALTHCARE - FAYETTE HOSPITAL

Practice address

214 Lakeview Rd
Somerville, TN 38068-9737

Phone

(901) 465-3594

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chris McLean

Title

Chief Financial Officer

Phone

(901) 516-0696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366529323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE",
            "address_2": "SUITE 600",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046638",
            "telephone_number": "901-516-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LAKEVIEW RD",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380689737",
            "telephone_number": "901-465-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HEALTHCARE - FAYETTE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "901-516-0696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "0000000047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydnee McCoy, MS, CCC-SLP
• Mary McFarland, RDH
• McKnight Clinic PLLC
• McKnight Clinic PLLC (McKnight Clinic)
• Elizabeth P McKnight, FNP-C
• Methodist Healthcare - Fayette Hospital
• Methodist Specialty Physician, V, LLC (McGee General Surgery Clinic)
• Middlecoff Dental Group PLLC
• Middlecoff Super D Drugs 116 Inc (super drugs)
• Charnell Whitfield Middlecoff III, DPH

• Medicare Defined Swing Bed Hospital Unit in Somerville, TN
• Providers in Somerville, TN by specialty
• Medicare Defined Swing Bed Hospital Unit in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.