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METHODIST EXTENDED CARE HOSPITAL

Long Term Care Hospital

Memphis, Tennessee

Provider NPI: 1538240536

Organization Information:
Organization Name:  METHODIST EXTENDED CARE HOSPITAL


Practice Location:
225 SOUTH CLAYBROOK  MEMPHIS, TN 38104 US
Tel: 901-516-2152  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y282E00000XHospitals
Long Term Care Hospital
TN0000000146

Other Provider Identifiers:

IssuerNumberStateType
00220567MS05
BLUE CROSS3099538TN01
152473105AR05
BLUE CROSS-FEDERAL3155193TN01
0440212TN05
14779409MO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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