| Baptist Memorial Hospital-union City Inc | |
|
1201 Bishop St Union City TN 38261-5403 | |
| (731) 884-8601 | |
| Not Available |
| Full Name | Baptist Memorial Hospital-union City Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1201 Bishop St, Union City, Tennessee |
| Authorized Official Name and Position | Gregory Duckett (SR VP/ CLO) |
| Authorized Official Contact | 9012275233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Memorial Hospital-union City Inc 350 N Humphreys Blvd Memphis TN 38120-2177 Ph: (731) 884-8601 | Baptist Memorial Hospital-union City Inc 1201 Bishop St Union City TN 38261-5403 Ph: (731) 884-8601 |
| NPI Number | 1346207909 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 09/30/2020 |
| Certification Date | 09/30/2020 |
| Medicare PECOS PAC ID | 4385549427 |
|---|---|
| Medicare Enrollment ID | O20031203000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346207909 | NPI | - | NPPES |
| 01620285 | Medicaid | KY | |
| 2097 | Other | TN | TNCARE PROV NUMB |
| 1000403 | Other | TN | BC PROV NUMBER |
| 0066791 | Other | TN | BC PROV NUMBER |
| 0440130 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 00000091 (Tennessee) | Primary |
| Provider Name | Vadankumar Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538100730 PECOS PAC ID: 4082519129 Enrollment ID: I20040105000067 |
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