Provider Demographics
NPI:1417006404
Name:MEMPHIS HAND CENTER, INC
Entity Type:Organization
Organization Name:MEMPHIS HAND CENTER, INC
Other - Org Name:SOUTHERN HAND CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-761-4263
Mailing Address - Street 1:P O BOX 770727
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38177-0727
Mailing Address - Country:US
Mailing Address - Phone:901-761-4263
Mailing Address - Fax:901-761-4226
Practice Address - Street 1:19D NORTHSTAR DRIVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-6647
Practice Address - Country:US
Practice Address - Phone:731-661-9542
Practice Address - Fax:731-661-9533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
446649Medicare UPIN
TN446649Medicare Oscar/Certification