Provider Demographics
NPI:1538164090
Name:UNIVERSITY HEALTH SYSTEM, INC.
Entity type:Organization
Organization Name:UNIVERSITY HEALTH SYSTEM, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-544-9430
Mailing Address - Street 1:PO BOX 440164
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0164
Mailing Address - Country:US
Mailing Address - Phone:865-251-4419
Mailing Address - Fax:865-251-4406
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-544-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN156251E00000X
TN389251G00000X
TNEMS00000099033416A0800X
TN0000000046282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL092592600Medicaid
TN3285143OtherCARDIOLOGIST II
KY01600055Medicaid
NC4406611Medicaid
ALUNI0015NMedicaid
OH06593456Medicaid
IL626001636001Medicaid
GA000105366AMedicaid
MS02283343Medicaid
AK139838105Medicaid
TN00440015Medicaid
VA004400160Medicaid
SC10144AMedicaid
TN3285141OtherCARDIOLOGIST
NC4400015Medicaid
KY55000145Medicaid
TN00440015Medicaid
SC10144AMedicaid
VA004400160Medicaid
NC4400015Medicaid