Methodist Healthcare - Fayette Hospital

Organization Active NPI General Acute Care Hospital · Somerville, TN

NPI 1851398960 · NPPES record last updated Apr 16, 2014

Key facts

NPI
1851398960
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
0000000047 (TN)
Legal business name
METHODIST HEALTHCARE - FAYETTE HOSPITAL
Practice address
214 Lakeview Rd
Somerville, TN 38068-9737
Phone
(901) 516-4000
NPI assigned
Jul 5, 2005
Organization subpart
No

Authorized official

Name
Mr. Chris McLean
Title
Chief Financial Officer
Phone
(901) 516-0696

National Provider Directory

Locations

1211 Union Ave
Ste 600
Memphis, TN 38104

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000047 TN Yes

Addresses

Primary practice location

214 Lakeview Rd
Somerville, TN 38068-9737

Mailing address

1211 Union Ave
Suite 600
Memphis, TN 38104-6638
Phone (901) 516-0696

Other identifiers

IdentifierTypeStateIssuer
0440168MedicaidTN

Other providers in Somerville, TN

All providers in Somerville, TN · General Acute Care Hospital in Tennessee

Sources for this page

Verify at the official NPI Registry.