Provider Demographics
NPI:1275567588
Name:UNITED NEIGHBORHOOD HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:UNITED NEIGHBORHOOD HEALTH SERVICES, INC
Other - Org Name:NEIGHBORHOOD HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-227-3000
Mailing Address - Street 1:2711 FOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-5307
Mailing Address - Country:US
Mailing Address - Phone:615-620-8647
Mailing Address - Fax:615-515-5773
Practice Address - Street 1:617 S 8TH ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206
Practice Address - Country:US
Practice Address - Phone:615-227-3000
Practice Address - Fax:615-226-2679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN441830Medicare Oscar/Certification
TN441895Medicare Oscar/Certification
TN441820Medicare Oscar/Certification
TN441836Medicare Oscar/Certification
TN441976Medicare Oscar/Certification
TN441977Medicare Oscar/Certification
TN441975Medicare Oscar/Certification
TN441804Medicare Oscar/Certification
TN441914Medicare Oscar/Certification
TN441821Medicare Oscar/Certification
TN441929Medicare Oscar/Certification
TN441928Medicare Oscar/Certification
TN3379411Medicare ID - Type Unspecified
TN441938Medicare Oscar/Certification