HTI MEMORIAL HOSPITAL CORPORATION

Provider Demographics

• NPI: 1295780476
• Name: HTI MEMORIAL HOSPITAL CORPORATION
• Entity type: Organization
• Organization Name: HTI MEMORIAL HOSPITAL CORPORATION
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: BRAD
• Authorized Official - Last Name: SCHULTZ
• Authorized Official - Phone: 615-769-7100
• Mailing Address - Street 1: 3441 DICKERSON PIKE
• Mailing Address - City: NASHVILLE
• Mailing Address - State: TN
• Mailing Address - Zip Code: 37207-2539
• Mailing Address - Country: US
• Mailing Address - Phone: 615-769-2000
• Mailing Address - Fax: 615-769-7102
• Practice Address - Street 1: 3441 DICKERSON PIKE
• Practice Address - City: NASHVILLE
• Practice Address - State: TN
• Practice Address - Zip Code: 37207-2539
• Practice Address - Country: US
• Practice Address - Phone: 615-769-2000
• Practice Address - Fax: 615-769-7102
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-24
• Last Update Date: 2021-06-02

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital
No	283Q00000X	Hospitals	Psychiatric Hospital

Provider Identifiers

State	Identifier ID	ID Type	Issuer
WV	0105622000	Medicaid
MD	48614	Medicaid
UT	621113737001	Medicaid
AL	NAS0006N	Medicaid
VA	004400062	Medicaid
OK	100697760A	Medicaid
KS	0134520501	Medicaid
KY	01621879	Medicaid
PA	01876740	Medicaid
TX	072824801	Medicaid
	1000174	Other	BLUE CROSS
AK	1072741050	Medicaid
ME	620725924	Medicaid
IN	200365060A	Medicaid
FL	910617100	Medicaid
MO	011548401	Medicaid
	0430297	Other	HEALTHSPRING
TN	0440006	Medicaid
WI	82086800	Medicaid
NM	A9081	Medicaid
IA	0933564	Medicaid
AR	149133105	Medicaid
NH	20002013	Medicaid
TN	2503077	Medicaid
CO	9500232503	Medicaid
CA	XHSP33423	Medicaid
GA	000953554X	Medicaid
OH	0278855	Medicaid
SC	10780B	Medicaid
NC	4400006	Medicaid
CT	003128338	Medicaid
MN	012633X	Medicaid
NY	01653709	Medicaid
MS	08227060	Medicaid
MA	1204149	Medicaid
LA	1747793	Medicaid
	5000049	Other	UNITED HEALTHCARE
CA	XHSP33423	Medicaid
AL	NAS0006N	Medicaid