NPIMap

Organization Active NPI

Methodist Healthcare Community Care Associates

Doing business as Methodist Health Clinic - CBU

  • Student Health Clinic/Center
  • Memphis, TN
National Provider Identifier
1861273823
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES
Doing business as
Methodist Health Clinic - CBU
Practice address
650 E Parkway S
Memphis, TN 38104-5519
Phone
(901) 321-3160
NPI assigned
Oct 6, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
METHODIST HEALTHCARE MEMPHIS HOSPITALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Mr. Eugene K Cashman III
Title
President
Phone
(901) 516-1434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

650 E Parkway S
Memphis, TN 38104-5519

Mailing address

6400 Shelby View Dr Ste 101
Memphis, TN 38134-7659
Phone (901) 516-1400

Other practice location 1

2455 Avery Ave
Memphis, TN 38112-4824
Phone (901) 321-3160

Other names 1

  • Methodist Health Clinic - CBU Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Methodist Health Sleep D5 organizations share this tax ID, including this one
Part of
Methodist Hospital Cent

Other organizations with this tax ID 4

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

Locations

2455 Avery Ave
Memphis, TN 38112
Phone (901) 321-3160

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1861273823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHELBY VIEW DR STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347659",
            "telephone_number": "901-516-1400",
            "fax_number": "901-516-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E PARKWAY S",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045519",
            "telephone_number": "901-321-3160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Avery Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381124824",
            "country_code": "US",
            "telephone_number": "901-321-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METHODIST HEALTHCARE MEMPHIS HOSPITALS",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "CASHMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-516-1434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Health Clinic - CBU",
            "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 Oct 6, 2023; 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.