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Organization Active NPI

Methodist Healthcare - Memphis Hospitals

Doing business as Methodist Behavioral Health

  • Psychiatric Hospital Unit
  • Memphis, TN
National Provider Identifier
1598829442
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Doing business as
Methodist Behavioral Health
Practice address
3960 New Covington Pike
Memphis, TN 38128-2504
Phone
(901) 516-8895
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Charles Lane
Title
Chief Financial Officer
Phone
(901) 784-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

3960 New Covington Pike
Memphis, TN 38128-2504

Mailing address

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-8700

Other names 1

  • Methodist Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080403000092 TN Part A Provider - Hospital 1355248394 Practice locations: Memphis, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598829442. Details of each certification follow.

Hospital certification: CCN 44S049

Legal name
METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Doing business as
METHODIST BEHAVIORAL HEALTH
Organization structure
CorporationProprietary
Incorporated
Jul 1, 1966 in TN
Enrollment address
3960 New Covington Pike
Methodist Behavioral Health
Memphis, TN 38128-2504
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Methodist Healthcare Memp12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 17

Organizations listed as members of this organization in the National Provider Directory.

View all 17

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Ugwueke Individual Corporate OfficerMethodist Le Bonheur Healthcare Ceo Dec 31, 2016
Linda Haynes Individual W-2 Managing EmployeeVice President of Finance Oct 1, 2015
Methodist Le Bonheur Healthcare Organization, Memphis, TN 5% Or Greater Direct Ownership Interest Jan 1, 1995
Charles R Lane Individual Corporate OfficerMLH Cfo Jan 1, 2019
W-2 Managing EmployeeMLH Cfo Jan 1, 2019

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of Memphis, a Partner of MethMemphis, TN, CCN 443029 Hospital Limited Partnership Interest (50%) Dec 31, 2021
Encompass Health Rehabilitation Hospital of North Memphis, a Partner OMemphis, TN, CCN 443031 Hospital Limited Partnership Interest (50%) Feb 26, 1992

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1598829442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-516-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282504",
            "telephone_number": "901-516-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HEALTHCARE - MEMPHIS HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "901-784-0525"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.