| Amisub (sfh) Inc. | |
|
5929 Park Ave Memphis TN 38119-5150 | |
| (901) 765-2057 | |
| (901) 765-2077 |
| Full Name | Amisub (sfh) Inc. |
|---|---|
| Speciality | Emergency Medicine |
| Location | 5929 Park Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Timothy Adams (SVP REGIONAL OPERATIONS, TENET) |
| Authorized Official Contact | 4698932563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amisub (sfh) Inc. Po Box 741274 Atlanta GA 30374-1274 Ph: (901) 523-7019 | Amisub (sfh) Inc. 5929 Park Ave Memphis TN 38119-5150 Ph: (901) 765-2057 |
| NPI Number | 1992741482 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 03/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992741482 | NPI | - | NPPES |
| 3283054 | Medicaid | TN |
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