1700917499 NPI NUMBER - AMERICARE SPECIALTY HOSPITAL OF MEMPHIS, LLC

Summary

NPI Number 1700917499
Entity Type Code Organization
Provider Legal Name AMERICARE SPECIALTY HOSPITAL OF MEMPHIS, LLC
Provider Business Practice Location Address 3403 OLD GETWELL RD
MEMPHIS, TN
ZIP 38118
Practice Location Phone Number (901) 369-9180
Provider Taxonomy Code 283Q00000X - Psychiatric Hospital
Specialization
Provider Enumeration Date 3/7/2007
Last Update Date 9/23/2008

Detailed Information

NPI Number 1700917499 is assigned to an organization registered under the healthcare provider name AMERICARE SPECIALTY HOSPITAL OF MEMPHIS, LLC .

The provider is physically located at:

3403 OLD GETWELL RD
MEMPHIS, TN
ZIP 38118-635
Phone: (901) 369-9180
Fax: (901) 367-8702

The provider's authorized official is MICHAEL E HAMPTON .
The authorized official title is PRESIDENT & CHIEF MANAGER and has the following contact phone number (901) 369-9180 .

The enumeration date for this NPI number is 3/7/2007 and was last updated on 9/23/2008 .

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License Number State
1 283Q00000X Psychiatric Hospital View Code

Other (Legacy) Identifiers

The following legacy identifiers for this provider are available:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer

NPI Record

No. Field Name Field Value
1 NPI 1700917499
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name AMERICARE SPECIALTY HOSPITAL OF MEMPHIS, LLC
5 Provider First Line Business Practice Location Address 3403 OLD GETWELL RD
6 Provider Business Practice Location Address City Name MEMPHIS
7 Provider Business Practice Location Address State Name TN
8 Provider Business Practice Location Address Postal Code 381183635
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 9013699180
11 Provider Business Practice Location Address Fax Number 9013678702
12 Provider Enumeration Date 3/7/2007
13 Last Update Date 9/23/2008
14 Authorized Official Last Name HAMPTON
15 Authorized Official First Name MICHAEL
16 Authorized Official Middle Name E
17 Authorized Official Title or Position PRESIDENT & CHIEF MANAGER
18 Authorized Official Telephone Number 9013699180
19 Healthcare Provider Taxonomy Code 1 283Q00000X
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Organization Subpart N

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This page was last updated on: 6/9/2013
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