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STATE OF TENNESSEE STATE F & A PAYROLL NPI 1457435893


NPI Information

NPI: 1457435893
Provider Name: STATE OF TENNESSEE STATE F & A PAYROLL

Doing Business As: MEMPHIS MENTAL HEALTH INSTITUTE

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 44D0978998

Address:
951 COURT AVE
MEMPHIS, TN
ZIP 38103
Phone: (901) 577-1800
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STATE OF TENNESSEE STATE F & A PAYROLL is a psychiatric hospital in Memphis, TN. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. STATE OF TENNESSEE STATE F & A PAYROLL NPI is 1457435893. The provider is registered as an organization entity type.
The provider Is Doing Business As Memphis Mental Health Institute.

The provider's business location address is:

951 COURT AVE
MEMPHIS, TN
ZIP 38103-813
Phone: (901) 577-1800
Fax: (901) 527-1331

The provider's authorized official is Donny Hornsby .
The authorized official title is Fiscal Director and has the following contact phone number (731) 228-0869.

The CLIA number assigned to this NPI record is 44D0978998 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 11/29/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric HospitalL000000017094TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1444001MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.