1700917499 NPI NUMBER - AMERICARE SPECIALTY HOSPITAL OF MEMPHIS, LLC
Summary
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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 |
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| Provider Enumeration Date |
3/7/2007 |
| Last Update Date |
9/23/2008 |
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:
Other (Legacy) Identifiers
The following legacy identifiers for this provider are available:
NPI Record
| 1 |
NPI |
1700917499 |
| 2 |
Entity Type Code |
2 |
| 3 |
Employer Identification Number EIN |
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| 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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