| Spirit Health | |
|
1331 Union Ave Ste 1240 Memphis TN 38104-7552 | |
| (901) 832-6734 | |
| Not Available |
| Full Name | Spirit Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1331 Union Ave Ste 1240, Memphis, Tennessee |
| Authorized Official Name and Position | Marye Bernard (OWNER) |
| Authorized Official Contact | 9018326734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Health 1331 Union Ave Ste 1240 Memphis TN 38104-7552 | Spirit Health 1331 Union Ave Ste 1240 Memphis TN 38104-7552 Ph: (901) 832-6734 |
| NPI Number | 1013568567 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 09/26/2019 |
| Medicare PECOS PAC ID | 5092147645 |
|---|---|
| Medicare Enrollment ID | O20191119003460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013568567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Marshe D Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407090889 PECOS PAC ID: 2365595469 Enrollment ID: I20090807000272 |
| Provider Name | Marye Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285805150 PECOS PAC ID: 7113170721 Enrollment ID: I20130110000183 |
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