UNIVERSITY HEALTH SYSTEM, INC.

Provider Demographics

• NPI: 1538164090
• Name: UNIVERSITY HEALTH SYSTEM, INC.
• Entity type: Organization
• Organization Name: UNIVERSITY HEALTH SYSTEM, INC.
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CEO
• Authorized Official - Prefix: MR
• Authorized Official - First Name: JOSEPH
• Authorized Official - Last Name: LANDSMAN
• Authorized Official - Phone: 865-544-9430
• Mailing Address - Street 1: PO BOX 440164
• 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 - City: KNOXVILLE
• Practice Address - State: TN
• Practice Address - Zip Code: 37920-1511
• Practice Address - Country: US
• Practice Address - Phone: 865-544-9000
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2005-06-20
• Last Update Date: 2008-06-13

Provider Licenses

State	License ID	Taxonomies
TN	156	251E00000X
TN	389	251G00000X
TN	EMS0000009903	3416A0800X
TN	0000000046	282N00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital
No	251E00000X	Agencies	Home Health
No	251G00000X	Agencies	Hospice Care, Community Based
No	3416A0800X	Transportation Services	Ambulance	Air Transport

Provider Identifiers

State	Identifier ID	ID Type	Issuer
FL	092592600	Medicaid
TN	3285143	Other	CARDIOLOGIST II
KY	01600055	Medicaid
NC	4406611	Medicaid
AL	UNI0015N	Medicaid
OH	06593456	Medicaid
IL	626001636001	Medicaid
GA	000105366A	Medicaid
MS	02283343	Medicaid
AK	139838105	Medicaid
TN	00440015	Medicaid
VA	004400160	Medicaid
SC	10144A	Medicaid
TN	3285141	Other	CARDIOLOGIST
NC	4400015	Medicaid
KY	55000145	Medicaid
TN	00440015	Medicaid
SC	10144A	Medicaid
VA	004400160	Medicaid
NC	4400015	Medicaid