UT MEDICAL GROUP, INC,; NPI #1154675072

Contact Information

UT MEDICAL GROUP, INC,

877 JEFFERSON AVE
MEMPHIS, TN 38103-2807

Phone: 901-545-7366
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for UT MEDICAL GROUP, INC,

NPI # 1154675072

LBN Legal business name UT MEDICAL GROUP, INC,

Authorized official RICHARD BAER - (CHIEF OPERATING OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/30/2012

Last updated 10/30/2012 - About 14 years ago

Identifiers

License #

15537

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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UT MEDICAL GROUP, INC,

Contact Information

Specialty

Children

NPI Profile & details for UT MEDICAL GROUP, INC,

Reviews for UT MEDICAL GROUP, INC,