1538164090 NPI number — UNIVERSITY HEALTH SYSTEM, INC.

Table of content: (NPI 1235994724)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538164090 NPI number — UNIVERSITY HEALTH SYSTEM, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY HEALTH SYSTEM, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
UNIVERSITY OF TENNESSEE MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538164090
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 440164
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37244-0164
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
865-251-4419
Provider Business Mailing Address Fax Number:
865-251-4406

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1924 ALCOA HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37920-1511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-544-9000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
LANDSMAN
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
865-544-9430

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  156 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251G00000X , with the licence number: 389 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 0000000046 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3416A0800X , with the licence number: EMS0000009903 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 092592600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3285143 . This is a "CARDIOLOGIST II" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 01600055 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4406611 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: UNI0015N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 06593456 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 626001636001 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000105366A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02283343 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139838105 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00440015 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004400160 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10144A , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3285141 . This is a "CARDIOLOGIST" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 4400015 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 55000145 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110746900 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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