| Friends For Life Corporation | |
|
806 S Cooper St Memphis TN 38104-5406 | |
| (901) 896-0739 | |
| Not Available |
| Full Name | Friends For Life Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 806 S Cooper St, Memphis, Tennessee |
| Authorized Official Name and Position | Diane Duke (CEO) |
| Authorized Official Contact | 7472307297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Friends For Life Corporation 1548 Poplar Ave Memphis TN 38104-2432 Ph: (901) 333-8269 | Friends For Life Corporation 806 S Cooper St Memphis TN 38104-5406 Ph: (901) 896-0739 |
| NPI Number | 1285398834 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 04/05/2024 |
| Medicare PECOS PAC ID | 6103215934 |
|---|---|
| Medicare Enrollment ID | O20211116001564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285398834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Shawn J Hayden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609835909 PECOS PAC ID: 9335299189 Enrollment ID: I20090616000814 |
| Provider Name | Jessica L Vinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528555406 PECOS PAC ID: 8022369982 Enrollment ID: I20180917001548 |
| Provider Name | Ramona Annette Lousie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477127330 PECOS PAC ID: 3779972518 Enrollment ID: I20211116001951 |
Christ Commuity Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3360 S 3rd St, Memphis, TN 38109 Phone: 901-842-3160 Fax: 901-842-2360 | |
Elite Patient Care Of Tennessee Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Peabody Pl Ste 150, Memphis, TN 38103 Phone: 337-408-0797 | |
Jerry M Holley Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4100 Austin Peay Hwy, Memphis, TN 38128 Phone: 901-486-1151 Fax: 901-844-1439 | |
Spirit Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1331 Union Ave Ste 1240, Memphis, TN 38104 Phone: 901-832-6734 | |
Peabody Family Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Avenue, Suite 150, Memphis, TN 38104 Phone: 901-725-0648 Fax: 901-725-1037 | |
Eastmoreland Internal Medicine Mpllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Avenue, Ste 245, Memphis, TN 38104 Phone: 901-729-3700 Fax: 901-729-3750 | |
Muh Weight Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Ave Ste 550, Memphis, TN 38104 Phone: 901-448-6635 Fax: 901-448-5721 |