340B Drug Pricing Program Database


DSH440049 METHODIST HEALTHCARE - MEMPHIS HOSPITALS (Active) - information as of 6/18/2025 1:11:36 AM

Main Details
METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Disproportionate Share Hospital
No
DSH440049
440049


Additional Details
Active
4/25/2008
7/1/2004
4/25/2008
9/6/2024

Contacts

Methodist Healthcare - Memphis Hospitals
Chuck Lane, SVP/Associate CFO
(901) 516-0549

Methodist Le Bonheur Healthcare
Chris Hilty, Director - Pharmacy Supply Chain
(901) 516-7570

Addresses

1265 Union Ave
Memphis, TN 38104

Methodist Healthcare - Memphis Hospitals
P.O. Box 41058
Memphis, TN 38174


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
8/16/10 SHIPPING ADDED - 7/15/04 ADDR CORRECTION (WAS 1265 UNION AVE)-9/16/10 UPDATED ADDR (WAS 221 S. CLAYBROOK MEMPHIS TN 38104)09/16/2010
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
TN1452856,0440049,3018431,620479367,0009485,60450881386709871,1518479831,1558365890,1649654450,1801819818,1225723133,1245383355
MS04726205,00020469,06355173,05739872,6204793671386709871,1518479831,1558365890,1649654450,1801819818,1225723133,1245383355
AR1071151051386709871,1518479831,1558365890,1649654450,1801819818,1225723133,1245383355
Shipping Addresses

METHODIST HEALTHCARE, DISCHARGE PHARMACY
1265 Union Ave
Memphis, TN 38104

METHODIST HEALTHCARE-CENTRAL, METHODIST HEALTHCARE UNIV.
DEPARTMENT OF PHARMACY
1265 Union Ave
Memphis, TN 38104

Methodist Germantown Outpatient Pharmacy
7705 Poplar Ave, Suite 170
Germantown, TN 38138

MLH Shelby Oaks Pharmacy
5865 Shelby Oaks Drive
Memphis, TN 38134
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/11/201904/01/2019  04/01/2019
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/11/201904/01/2019  04/01/2019
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/11/201904/01/2019  04/01/2019
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624101/11/201904/01/2019 09/01/202310/10/2023
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/11/201904/01/2019  04/01/2019
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/11/201904/01/2019  04/01/2019
Contract DetailACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/10/202301/01/2024  01/01/2024
Contract DetailANOVORX GROUP, LLC  100 NORTH HUMPHREYS BLVD
MEMPHISTN38120-214602/06/201304/01/2013 10/18/201607/13/2017
Contract DetailANOVORX GROUP, LLCANOVORX GROUP, LLC 1710 N SHELBY OAKS DR
SUITE 1 		MEMPHISTN3813402/06/201304/01/2013  07/13/2017
Contract DetailANOVORX GROUP, LLC7945 WOLF RIVER BLVD. SUITE 200
GERMANTOWNTN38138-176810/17/201610/18/2016 01/01/201901/04/2019
Contract DetailANOVORX GROUP, LLC1710 SHELBY OAKS DR N STE 5
MEMPHISTN38134-740301/04/201904/01/2019  04/01/2019
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361404/05/201707/01/2017  07/13/2017
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005604/05/201707/01/2017  07/13/2017
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621904/05/201707/01/2017  07/13/2017
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175704/05/201707/01/2017  07/13/2017
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808304/05/201707/01/2017  07/13/2017
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700404/05/201707/01/2017  07/13/2017
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761704/05/201707/01/2017  07/13/2017
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813304/05/201707/01/2017  07/13/2017
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237404/05/201707/01/2017  07/13/2017
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911907/14/202310/01/2023  10/01/2023
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870604/15/202107/01/2021  07/01/2021
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005604/15/202107/01/2021  07/01/2021
Contract DetailCVS TN DISTRIBUTION, LLC10017 KINGSTON PIKE
KNOXVILLETN3792210/10/201401/01/2015 01/11/201901/11/2019
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/14/202310/01/2023  10/01/2023
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503301/15/202004/01/2020  04/01/2020
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111201/11/201904/01/2019 12/11/202306/12/2024
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313401/11/201904/01/2019 12/11/202306/12/2024
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801601/11/201904/01/2019 12/11/202306/12/2024
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607501/11/201904/01/2019 12/11/202306/12/2024
Contract DetailGENOA HEALTHCARE LLC420 BELL AVENUE, SUITE P
CHATTANOOGATN3740504/15/202107/01/2021  07/01/2021
Contract DetailGENOA HEALTHCARE LLC240 WEST TYRONE ROAD, STE A1
OAK RIDGETN3783004/15/202107/01/2021  07/01/2021
Contract DetailGENOA HEALTHCARE LLC1485 S M-139
BENTON HARBORMI4902204/15/202107/01/2021  07/01/2021
Contract DetailGENOA HEALTHCARE LLC50680 CORPORATE DRIVE SUITE #2
SHELBY TOWNSHIPMI4831504/15/202107/01/2021  07/01/2021
Contract DetailGEORGIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04229 12012 ABERCORN STREET
SAVANNAHGA3141904/10/202507/01/2025  04/10/2025
Contract DetailK & B TENNESSEE CORPORATIONRITE AID #7193 1810 UNION AVENUE
MEMPHISTN3810410/13/201501/01/2016 12/20/201701/04/2018
Contract DetailK & B TENNESSEE CORPORATIONRITE AID #7198 4212 ELVIS PRESLEY BLVD.
MEMPHISTN3811610/13/201501/01/2016 12/20/201701/04/2018
Contract DetailK & B TENNESSEE CORPORATIONRITE AID #7202 2670 FRAYSER BOULEVARD
MEMPHISTN3812710/13/201501/01/2016 12/20/201701/04/2018
Contract DetailKROGER FOOD & DRUG 410676 GERMANTOWN PKWY
CORDOVATN3801804/14/201507/01/2015 05/18/202406/12/2024
Contract DetailKROGER FOOD & DRUG 4394264 SUMMER AVENUE
MEMPHISTN3812204/14/201507/01/2015 05/18/202406/12/2024
Contract DetailKROGER FOOD & PHARMACY3685 HOUSTON LEVEE ROAD
COLLIERVILLETN3801704/14/201507/01/2015 05/18/202406/12/2024
Contract DetailKROGER FOOD & PHARMACY8039 HWY 51
MILLINGTONTN3805304/14/201507/01/2015 05/18/202406/12/2024
Contract DetailKROGER FOOD & PHARMACY #4383860 AUSTIN PEAY HWY
MEMPHISTN3812810/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER FOOD & PHARMACY #4527427 GOODMAN RD
OLIVE BRANCHMS3865410/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER FOOD & PHARMACY #4537251 INTERSTATE BLVD
HORN LAKEMS3863710/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER FOOD AND DRUG #387240 NEW BYHALIA ROAD
COLLIERVILLETN3801704/14/201507/01/2015 05/18/202406/12/2024
Contract DetailKROGER FOOD AND DRUG #404465 STATELINE ROAD ATTN: PHARMACY
SOUTHAVENMS3867110/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER FOOD AND DRUG 4055995 STAGE RD
BARTLETTTN3813410/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER FOOD AND DRUG 416  2130 EXETER ROAD
GERMANTOWNTN3813810/14/201401/01/2015 08/12/201507/13/2017
Contract DetailKROGER FOOD AND DRUG 418951 HWY 51 N
COVINGTONTN3801910/06/201501/01/2016 05/18/202406/12/2024
Contract DetailKROGER FOOD AND DRUG 430540 S MENDENHALL RD, STE 16
MEMPHISTN38117-420010/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY1230 NORTH HOUSTON LEVEE ROAD
CORDOVATN3801810/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #02503396660 POPLAR AVE
MEMPHISTN3813804/14/201507/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #25-43311630 HWY 51 S.
ATOKATN3800404/14/201507/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #4197735 FARMINGTON BLVD
MEMPHISTN3813810/06/201501/01/2016 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #4261675 GERMANTOWN PARKWAY
CORDOVATN3801604/14/201507/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #4409025 HIGHWAY 64
LAKELANDTN3800204/14/201507/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #4567615 HIGHWAY 70
BARTLETTTN3813310/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #4643095 GOODMAN ROAD
SOUTHAVENMS3867210/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #469300 SOUTH SERVICE RD
WEST MEMPHISAR7230110/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #4782380 MT. PLEASANT RD
HERNANDOMS3863204/14/201507/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #4835270 AIRLINE RD
ARLINGTONTN3800204/14/201507/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #4892942 KIRBY WHITTEN RD
BARTLETTTN3813410/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #491799 TRUSE PKWY
MEMPHISTN3811710/06/201501/01/2016 05/18/202406/12/2024
Contract DetailKROGER PHARMACY #4993926 GOODMAN RD.
HORN LAKEMS3863710/14/201401/01/2015 05/18/202406/12/2024
Contract DetailKROGER PHARMCY #4627265 HWY 64
OAKLANDTN3806004/14/201507/01/2015 05/18/202406/12/2024
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08954 7363 GOODMAN RD.
OLIVE BRANCHMS3865410/07/201501/01/2016 11/07/202301/11/2024
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08955 55 GOODMAN ROAD WEST
SOUTHAVENMS3867110/07/201501/01/2016  07/13/2017
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08994 2955 CHURCH RD E
SOUTHAVENMS3867110/07/201501/01/2016  07/13/2017
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03426 6040 GOODMAN RD.
WALLSMS3868010/06/201601/01/2017  07/13/2017
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05604 5025 HWY 305
OLIVE BRANCHMS3865410/06/201601/01/2017  07/13/2017
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07963 1502 GOODMAN RD.
HORN LAKEMS3863710/06/201601/01/2017 09/26/202210/10/2023
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08491 2945 GOODMAN ROAD EAST
SOUTHAVENMS3867210/06/201601/01/2017 04/20/202310/10/2023
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.CVS PHARMACY # 17498 5150 GOODMAN RD
OLIVE BRANCHMS3865401/11/201904/01/2019  04/01/2019
Contract DetailOPTUM FRONTIER THERAPIES II, LLC6425 SANTA MARGARITA ST UNIT 110
LAS VEGASNV89118-191310/15/201901/01/2020  01/01/2020
Contract DetailOPTUM INFUSION SERVICES 206, INC.500 PAUL W BRYANT DR E STE B
TUSCALOOSAAL35401-265204/15/202107/01/2021  07/01/2021
Contract DetailOPTUM INFUSION SERVICES 305, LLC15529 COLLEGE BLVD.
LENEXAKS66219-135104/15/202107/01/2021  07/01/2021
Contract DetailOPTUM INFUSION SERVICES 500 INC1893 GENERAL GEORGE PATTON DR # 100
FRANKLINTN37067-265504/15/202107/01/2021  07/01/2021
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713010/15/201901/01/2020  01/01/2020
Contract DetailOPTUM PHARMACY 705, LLC1893 GENERAL GEORGE PATTON DR STE 106
FRANKLINTN37067-265510/15/201901/01/2020  01/01/2020
Contract DetailOPTUM PHARMACY 705, LLC3539 BLUECUTT RD
COLUMBUSMS3970510/15/201901/01/2020  01/01/2020
Contract DetailOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508510/15/201901/01/2020  01/01/2020
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999201/15/202004/01/2020 10/01/202204/11/2023
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514604/05/201707/01/2017  07/13/2017
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681304/05/201707/01/2017 07/01/202307/14/2023
Contract DetailPROCARE PHARMACY, L.L.C.CVS/PHARMACY #10994 60 MARKET CENTER DRIVE
SUITE 103 		COLLIERVILLETN3801704/14/202007/01/2020  07/01/2020
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/14/202310/01/2023  10/01/2023
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920307/14/202310/01/2023  10/01/2023
Contract DetailRITE AID OF TENNESSEE, INC.RITE AID #7401 4642 QUINCE ROAD
MEMPHISTN3811710/13/201501/01/2016 12/20/201701/04/2018
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04928 5055 STAGE RD.
MEMPHISTN3812810/10/201401/01/2015 03/25/202503/25/2025
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 4990 3502 PARK AVE.
MEMPHISTN3811110/10/201401/01/2015 10/01/202310/16/2023
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 4992 2115 UNION AVE.
MEMPHISTN3810410/10/201401/01/2015  07/13/2017
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 6304 6116 QUINCE RD
MEMPHISTN3811910/10/201401/01/2015  07/13/2017
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 6628 786 GERMANTOWN PKWY.
CORDOVATN3801810/10/201401/01/2015  07/13/2017
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #7144 6670 STAGE ROAD
BARTLETTTN3813410/10/201401/01/2015  07/13/2017
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07619 9861 US HIGHWAY 64
ARLINGTONTN3800210/10/201401/01/2015  07/13/2017
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08427 6620 WINCHESTER RD.
MEMPHISTN3811510/10/201401/01/2015  07/13/2017
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10204 4155 ELVIS PRESLEY BLVD
MEMPHISTN3811610/10/201401/01/2015  07/13/2017
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.CVS PHARMACY # 16023 601 COLONIAL RD
MEMPHISTN3811710/06/201601/01/2017  07/13/2017
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.CVS PHARMACY # 17026 325 NEW BYHALIA RD
COLLIERVILLETN3801710/06/201601/01/2017  07/13/2017
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.CVS PHARMACY # 16204 9235 POPLAR AVE
GERMANTOWNTN3813801/11/201904/01/2019  04/01/2019
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.CVS PHARMACY # 16417 7989 US HIGHWAY 64
MEMPHISTN3813301/11/201904/01/2019  04/01/2019
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.CVS PHARMACY # 16965 475 N GERMANTOWN PKWY
CORDOVATN3801801/11/201904/01/2019 12/31/201804/04/2019
Contract DetailTENNESSEE CVS PHARMACY, L.L.C.CVS PHARMACY # 17525 5959 POPLAR AVE
MEMPHISTN3811901/11/201904/01/2019  04/01/2019
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/18/201710/01/2017 10/26/202312/19/2023
Contract DetailWAL-MART PHARMACY 10-00948445 HWY 51 NORTH
MILLINGTONTN3805304/13/201507/01/2015 10/26/202312/19/2023
Contract DetailWAL-MART PHARMACY 10-0175560 W POPLAR AVE
COLLIERVILLETN3801710/10/201401/01/2015 10/26/202312/19/2023
Contract DetailWAL-MART PHARMACY 10-09508400 HIGHWAY 64
BARTLETTTN3813304/13/201507/01/2015 10/26/202312/19/2023
Contract DetailWAL-MART PHARMACY 10-12487525 WINCHESTER ROAD
MEMPHIS (SE)TN3812510/10/201401/01/2015 10/26/202312/19/2023
Contract DetailWAL-MART PHARMACY 10-15613950 AUSTIN PEAY HWY
MEMPHISTN3812810/10/201401/01/2015 10/26/202312/19/2023
Contract DetailWAL-MART PHARMACY 10-2322577 GERMANTOWN PKWY
CORDOVATN3801810/10/201401/01/2015 10/26/202312/19/2023
Contract DetailWAL-MART PHARMACY 10-50436990 SHELBY DRIVE
MEMPHISTN3812510/10/201401/01/2015 10/26/202312/19/2023
Contract DetailWAL-MART PHARMACY 10-51222856 HICKORY HILL EXT
MEMPHISTN3811504/13/201507/01/2015 10/26/202312/19/2023
Contract DetailWAL-MART PHARMACY 10-51965255 ELVIS PERSLEY BLVD
MEMPHIS(ELVIS HOLMES)TN3811610/10/201401/01/2015 10/26/202312/19/2023
Contract DetailWAL-MART PHARMACY 10-53152354 COMMERCE PARK DR.
ORLANDOFL3281910/12/201601/01/2017 10/26/202312/19/2023
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/18/201710/01/2017 10/26/202312/19/2023
Contract DetailWALGREEN CODBA: WALGREENS #10517 7030 HACKS CROSS RD
OLIVE BRANCHMS38654-447109/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CODBA: WALGREENS #11289 105 HIGHWAY 51 N
BATESVILLEMS38606-235109/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CODBA: WALGREENS #11344 2110 N WASHINGTON ST
FORREST CITYAR72335-184609/20/201109/20/2011 05/01/202307/14/2023
Contract DetailWALGREEN CODBA: WALGREENS #11890 2996 CHURCH ROAD E
SOUTHAVENMS3867109/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CODBA; WALGREENS #12308 5148 HWY 51 NORTH
SENATOBIAMS3866809/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CODBA: WALGREENS #12689 902 S GLOSTER STREET
TUPELOMS38801-631209/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 00586 2 N MAIN
MEMPHISTN3810309/26/201109/26/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 01512 7650 W FARMINGTON BLVD
GERMANTOWNTN38138-280909/26/201109/26/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02161 2471 JACKSON AVE
MEMPHISTN38108-331809/26/201109/26/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02775 4155 S 3RD ST
MEMPHISTN3810909/26/201109/26/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02892 3360 N WATKINS
MEMPHISTN3812709/26/201109/26/2011 03/04/201904/04/2019
Contract DetailWALGREEN CO.DBA: WALGREENS # 02940 1130 S BELLEVUE
MEMPHISTN3810609/26/201109/26/2011 11/11/202204/11/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03013 4653 ELVIS PRESLEY
MEMPHISTN3811609/26/201109/26/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 03176 4154 ELVIS PRESLEY BLVD
MEMPHISTN3811609/26/201109/26/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 03227 3381 POPLAR AVENUE
MEMPHISTN3811109/26/201109/26/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 03323 1501 GOODMAN RD WEST
HORN LAKEMS3863709/26/201109/26/2011 03/21/202307/14/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03465 3489 RAMILL
MEMPHISTN3812809/26/201109/26/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 01913 2026 HWY 72 E
CORINTHMS38834-670909/20/201109/20/2011 04/22/201607/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02774 346 WEST BROADWAY
WEST MEMPHISAR7230109/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 03473 1863 UNION AVE
MEMPHISTN3810409/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 03699 5121 QUINCE RD
MEMPHISTN3811709/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 03866 1489 AIRWAYS BLVD
MEMPHISTN3811409/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04016 2879 N GERMANTOWN PARKWAY
MEMPHISTN3813309/20/201109/20/2011 04/04/201804/04/2018
Contract DetailWALGREEN CO.36DBA: WALGREENS # 04083 5950 STAGE ROAD
BARTLETTTN3813409/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04232 8046 MACON RD
CORDOVATN3801809/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04312 9325 POPLAR AVENUE
GERMANTOWNTN3813809/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04455 35 STATELINE RD WEST
SOUTHAVENMS3867109/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04600 3445 ELVIS PRESLEY BLVD.
MEMPHISTN3811609/20/201109/20/2011 04/21/202505/30/2025
Contract DetailWALGREEN CO.DBA: WALGREENS # 04628 987 UNION AVE.
MEMPHISTN3810409/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04735 3670 RIVERDALE ROAD
MEMPHISTN3811509/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05023 8001 WINCHESTER RD.
MEMPHISTN3812509/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05066 9085 HWY 64
ARLINGTONTN3800209/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05317 3502 SUMMER AVENUE
MEMPHISTN38122-362809/20/201109/20/2011 11/11/201901/15/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 05318 5828 US HIGHWAY 70
MEMPHISTN3813409/20/201109/20/2011 11/12/201901/15/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 05345 2891 KIRBY ROAD
MEMPHISTN3811909/20/201109/20/2011 04/29/202505/30/2025
Contract DetailWALGREEN CO.DBA: WALGREENS # 05396 1011 GOODMAN ROAD EAST
SOUTHAVENMS3867109/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05654 6770 MACON ROAD
MEMPHISTN3813409/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05676 1359 POPLAR AVE
MEMPHISTN3810409/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05705 2016 S HOUSTON LEVEE RD
COLLIERVILLETN3801709/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05789 1800 N MISSOURI ST STE 2
WEST MEMPHISAR7230109/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06037 7790 WOLF RIVER BLVD
GERMANTOWNTN3813809/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06212 824 W POPLAR AVE
COLLIERVILLETN38017-256909/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06242 9028 WALNUT GROVE ROAD
CORDOVATN38018-746909/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06278 3689 S HOUSTON LEVEE ROAD
COLLIERVILLETN3801709/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06341 6565 SAINT ELMO ROAD
BARTLETTTN3813509/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06465 6697 STAGE ROAD
BARTLETTTN38134-284909/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06644 4625 SUMMER AVENUE
MEMPHISTN38122-413709/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06754 4028 GOODMAN ROAD WEST
HORN LAKEMS3863709/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06769 8035 E SHELBY DRIVE
MEMPHISTN38125-320209/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06858 5900 KNIGHT ARNOLD
MEMPHISTN3811509/20/201109/20/2011 04/29/202505/30/2025
Contract DetailWALGREEN CO.DBA: WALGREENS # 06881 1201 GETWELL RD
MEMPHISTN38111-731509/20/201109/20/2011 11/12/201901/15/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 06882 3177 S PERKINS
MEMPHISTN38118-435409/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06958 8097 HWY 70
ARLINGTONTN3800209/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06985 2960 CANADA ROAD
LAKELANDTN38002-971209/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07038 1943 BERRYHILL RD
CORDOVATN38016-531109/20/201109/20/2011 04/24/202505/30/2025
Contract DetailWALGREEN CO.DBA: WALGREENS # 07059 4015 AUSTIN PEAY HWY
MEMPHISTN3812809/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07130 6958 GOODMAN RD
OLIVE BRANCHMS3865409/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #15928 6939 EAST SHELBY DRIVE
MEMPHISTN3814109/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07613 3515 PARK AVENUE
MEMPHISTN38111-562109/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07792 7994 US HWY 51 N
MILLINGTONTN38053-190909/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07808 6310 POPLAR AVENUE
MEMPHISTN38119-473409/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07849 4991 HIGHWAY 51 NORTH
HORN LAKEMS38637-410109/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 09013 1065 STATELINE RD W
SOUTHAVENMS3867109/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 09112 14860 HIGHWAY 194
OAKLANDTN3806009/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 09174 1845 S 3RD ST
MEMPHISTN38109-771709/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 09719 3100 THOMAS ST
MEMPHISTN38127-600509/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 10103 5080 STAGE RD
MEMPHISTN38128-500409/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA : WALGREENS #10706 950 E COMMERCE STREET
HERNANDOMS38632-243309/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 11671 4680 POPLAR AVE
MEMPHISTN3811709/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #11733 43 TABB DR.
MUNFORDTN3805809/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 13108 2655 FRAYSER BLVD
MEMPHISTN3812709/20/201109/20/2011  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07911 950 HIGHWAY 51 N
COVINGTONTN38019-170302/25/201304/01/2013  07/13/2017
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15317 1424 UNION AVE
MEMPHISTN3810402/25/201304/01/2013  07/13/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #15585 6005 PARK AVENUE
SUITE 108 		MEMPHISTN3811904/17/201707/01/2017 01/16/201803/12/2018
Contract DetailWALGREEN CO.DBA: WALGREENS #15287 5190 POPLAR AVENUE
MEMPHISTN3811704/17/201707/01/2017  07/13/2017
Contract DetailWALGREEN CO.D/B/A WALGREENS #16370 3140 TCHULAHOMA RD.
MEMPHISTN3811804/17/201707/01/2017 05/18/202307/14/2023
Contract DetailWALGREEN CO.WALGREENS #16369 3145 PLAYERS CLUB PARKWAY
MEMPHISTN3812504/17/201707/01/2017 05/18/202307/14/2023
Contract DetailWALGREEN CO.RITE AID #07193 1810 UNION AVENUE
MEMPHISTN3810401/04/201801/04/2018 11/05/201811/20/2018
Contract DetailWALGREEN CO.RITE AID #07202 2670 FRAYSER BLVD
MEMPHISTN3812701/04/201801/04/2018 07/11/201801/04/2019
Contract DetailWALGREEN CO.RITE AID #07198 4212 ELVIS PRESLEY BLVD.
MEMPHISTN3811601/04/201801/04/2018 07/10/201801/04/2019
Contract DetailWALGREEN CO.RITE AID #07401 4642 QUINCE ROAD
MEMPHISTN3811701/04/201801/04/2018 07/16/201801/04/2019
Contract DetailWalgreens #21389Walgreens Central Fill #21389 3299 Tchulatech Dr
Suite 101 		MemphisTN3811804/11/202307/01/2023  07/01/2023
Contract DetailWALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528404/24/201307/01/2013  07/13/2017
Contract DetailWALGREENS MAIL SERVICE, LLCWALGREENS MAIL SERVICE #03397 8350 S RIVER PARKWAY
TEMPEAZ8528410/11/201701/01/2018  10/11/2017
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527504/16/201407/01/2014  07/13/2017
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700804/16/201407/01/2014  07/13/2017
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/16/201407/01/2014  07/13/2017
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503304/16/201407/01/2014  07/13/2017
Contract DetailWALGREENS.COM, INC.DBA: WALGREENS 2225 S. PRICE ROAD
CHANDLERAZ8528610/11/201701/01/2018  10/11/2017
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH440049AAChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Dialysis - Acute3960 New Covington PikeMemphisTNActive
DSH440049ABChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Same Day Surgery3960 New Covington PikeMemphisTNActive
DSH440049ACChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Emergency Department3960 New Covington PikeMemphisTNActive
DSH440049ADChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Clinical Decision Unit3960 New Covington PikeMemphisTNActive
DSH440049AEChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Cardiovascular Services3960 New Covington PikeMemphisTNActive
DSH440049AFChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Catheterization Lab3960 New Covington PikeMemphisTNActive
DSH440049AGChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Radiology - Diagnostic3960 New Covington PikeMemphisTNActive
DSH440049AHChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Radiology - CT Scan3960 New Covington PikeMemphisTNActive
DSH440049AJChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - MRI3960 New Covington PikeMemphisTNActive
DSH440049AKChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Nuclear Medicine3960 New Covington PikeMemphisTNActive
DSH440049ALChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Physical Therapy3960 New Covington PikeMemphisTNActive
DSH440049AMChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Advanced Wound Care Center3950 New Covington Pike, Suite 350MemphisTNActive
DSH440049ANChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - Emergency Department848 Adams AveMemphisTNActive
DSH440049APChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - Catheterization Lab848 Adams AveMemphisTNActive
DSH440049AQChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - Nuclear Medicine848 Adams AveMemphisTNActive
DSH440049ARChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - Radiology - CT Scan848 Adams AveMemphisTNActive
DSH440049ASChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - GI Lab848 Adams AveMemphisTNActive
DSH440049ATChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - Surgery - Operating Room848 Adams AveMemphisTNActive
DSH440049AUChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - Neuro Diagnostics848 Adams AveMemphisTNActive
DSH440049AVChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSSouthwind Medical Specialists3725 Champion Hills DrMemphisTNActive
DSH440049AWChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - MEG848 Adams AveMemphisTNActive
DSH440049AXChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - MRI / MRA848 Adams AveMemphisTNActive
DSH440049AYChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - Cardiovascular Services848 Adams AveMemphisTNActive
DSH440049AZChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - Pulmonary Diagnostics848 Adams AveMemphisTNActive
DSH440049BAChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - Radiology - Diagnostic848 Adams AveMemphisTNActive
DSH440049BBChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - PACU / Recovery Room Services848 Adams AveMemphisTNActive
DSH440049BCChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - Same Day Surgery848 Adams AveMemphisTNActive
DSH440049BDChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Labor and Delivery7691 Poplar AveGermantownTNActive
DSH440049BEChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Dialysis - Acute7691 Poplar AveGermantownTNActive
DSH440049BFChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Respiratory Therapy7691 Poplar AveGermantownTNActive
DSH440049BGChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Operating Room Services7691 Poplar AveGermantownTNActive
DSH440049BHChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Same Day Surgery7691 Poplar AveGermantownTNActive
DSH440049BJChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Recovery Room Services7691 Poplar AveGermantownTNActive
DSH440049BKChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Emergency Room7691 Poplar AveGermantownTNActive
DSH440049BLChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Lab Services7691 Poplar AveGermantownTNActive
DSH440049BMChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Blood Bank7691 Poplar AveGermantownTNActive
DSH440049BNChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Physiology GI7691 Poplar AveGermantownTNActive
DSH440049BPChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Cardiovascular Services7691 Poplar AveGermantownTNActive
DSH440049BQChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Cardiac Cath Lab7691 Poplar AveGermantownTNActive
DSH440049BRChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - EEG7691 Poplar AveGermantownTNActive
DSH440049BSChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - OP Cardiac Rehab7691 Poplar AveGermantownTNActive
DSH440049BTChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Neurodiagnostics7691 Poplar AveGermantownTNActive
DSH440049BUChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Pelvic Rehab7691 Poplar AveGermantownTNActive
DSH440049BVChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Radiology - Diagnostic7691 Poplar AveGermantownTNActive
DSH440049BWChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Radiology - Ultrasound7691 Poplar AveGermantownTNActive
DSH440049BXChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Radiology - CT Scan7691 Poplar AveGermantownTNActive
DSH440049BYChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Radiology - Special Procedures7691 Poplar AveGermantownTNActive
DSH440049BZChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - MRI7691 Poplar AveGermantownTNActive
DSH440049CAChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Nuclear Medicine7691 Poplar AveGermantownTNActive
DSH440049CBChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Anesthesia7691 Poplar AveGermantownTNActive
DSH440049CCChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Physical Therapy7691 Poplar AveGermantownTNActive
DSH440049CDChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Occupational Therapy7691 Poplar AveGermantownTNActive
DSH440049CEChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Speech Therapy7691 Poplar AveGermantownTNActive
DSH440049CFChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Pediatric Rehab Services7691 Poplar AveGermantownTNActive
DSH440049CGChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Outpatient Diagnostic Center - Ambulatory Care Clinics51 N Dunlap StMemphisTNActive
DSH440049CHChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Outpatient Diagnostic Center - Pediatric Rehab Services51 N Dunlap StMemphisTNActive
DSH440049CJChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Outpatient Diagnostic Center - Audiology Clinic51 N Dunlap StMemphisTNActive
DSH440049CKChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Outpatient Diagnostic Center - Radiology - Ultrasound51 N Dunlap StMemphisTNActive
DSH440049CLChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Outpatient Diagnostic Center - Urodynamics Lab51 N Dunlap StMemphisTNActive
DSH440049CMChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Outpatient Diagnostic Center - X-Ray Diagnostic51 N Dunlap StMemphisTNActive
DSH440049CNChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Research Center - Dialysis Unit50 N Dunlap StMemphisTNActive
DSH440049CPChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Research Center - Pediatric Clinical Research (DTU)50 N Dunlap StMemphisTNActive
DSH440049CQChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Research Center - Sleep Disorder Clinic50 N Dunlap StMemphisTNActive
DSH440049CRChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Healthcare Oncology Clinic - Wolf River - Oncology Infusion7945 Wolf River BlvdGermantownTNTerminated
DSH440049CSChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Healthcare Oncology Clinic - Wolf River - Radiology7945 Wolf River BlvdGermantownTNTerminated
DSH440049CTChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Healthcare Oncology Clinic - Wolf River - CT / MRI7945 Wolf River BlvdGermantownTNTerminated
DSH440049CUChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Diagnostic Center - Germantown1377 S Germantown RdGermantownTNActive
DSH440049CVChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Diagnostic Center1801 Union AveMemphisTNActive
DSH440049CWChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Healthcare Memphis Hospital - Methodist Sickle Cell Center1265 Union AveMemphisTNActive
DSH440049CXChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSBreast Diagnostic Center - Germantown7945 Wolf River BlvdGermantownTNTerminated
DSH440049CYChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist University Specialty Clinic1325 Eastmoreland AveMemphisTNActive
DSH440049CZChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital Emergency Room Services - Urgent Care848 Adams AveMemphisTNActive
DSH440049DAChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Lab Services1300 Wesley DrMemphisTNActive
DSH440049DBChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Respiratory Therapy3960 New Covington PikeMemphisTNActive
DSH440049DCChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Lab Services3960 New Covington PikeMemphisTNActive
DSH440049DDChildDSHMETHODIST H/C MEMPHIS HOSPT.Methodist Healthcare Oncology Clinic1500 W Poplar AveColliervilleTNTerminated
DSH440049DEChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Pavilion Surgery7691 Poplar AveGermantownTNActive
DSH440049DFChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Angiography3960 New Covington PikeMemphisTNActive
DSH440049DGChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Pediatric Unit7691 Poplar AveGermantownTNActive
DSH440049DHChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital - Gyn/Med Surg7691 Poplar AveGermantownTNActive
DSH440049DJChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Children's Hospital - Germantown ED7691 Poplar AvenueGermantownTNActive
DSH440049DKChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Le Bonheur Germantown Hospital- Observation Unit7691 Poplar AvenueGermantownTNActive
DSH440049DLChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital- Observation Unit3960 New Covington PikeMemphisTNActive
DSH440049DMChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMETHODIST HEALTHCARE - MEMPHIS HOSP - Emergency Department8071 WINCHESTER ROAD SUITE 2MEMPHISTNActive
DSH440049DNChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSOutpatient Cardiovascular Diagnostic Center - Sutherland7460 Wolf River BlvdGermantownTNActive
DSH440049DPChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Healthcare Oncology Clinic West - Union1211 Union AveMemphisTNTerminated
DSH440049DQChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Healthcare Oncology Clinic West - Collierville1936 W Poplar AveColliervilleTNTerminated
DSH440049DRChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Bone Marrow Transplant1265 Union AveMemphisTNActive
DSH440049DSChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - South / Gastroenterology1251 Wesley DrMemphisTNActive
DSH440049DTChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - South / Endocrinology1251 Wesley DrMemphisTNActive
DSH440049DUChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - Midtown / Pulmonary1325 Eastmoreland AveMemphisTNActive
DSH440049DVChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - Midtown / Neurology1325 Eastmoreland AveMemphisTNActive
DSH440049DWChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - Midtown / Infectious Disease1211 Union AveMemphisTNActive
DSH440049DXChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - Midtown / General Surgery1325 Eastmoreland AveMemphisTNActive
DSH440049DYChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - Midtown / Gastroenterology1325 Eastmoreland AveMemphisTNActive
DSH440049DZChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - Midtown / Endocrinology1325 Eastmoreland AveMemphisTNActive
DSH440049EChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSOncology1588 Union AveMemphisTNTerminated
DSH440049EAChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Wolf River / Thoracic Surgeons7705 Poplar AveGermantownTNActive
DSH440049EBChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Wolf River / Surgical Oncology7705 Poplar AveGermantownTNActive
DSH440049ECChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Wolf River / Otolaryngology1325 Eastmoreland AveMemphisTNActive
DSH440049EDChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Surgical Oncology / Thoracic Surgeons1265 Union AveMemphisTNActive
DSH440049EEChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Surgical Oncology / Surgical Oncology1265 Union AveMemphisTNActive
DSH440049EFChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - Cordova / Internal Medicine57 Germantown CtCordovaTNActive
DSH440049EGChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - Cordova / Infectious Disease57 Germantown CtCordovaTNActive
DSH440049EHChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - Cordova / Gastroenterology57 Germantown CtCordovaTNActive
DSH440049EJChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Multi-Disciplinary Clinic - Cordova / Endocrinology57 Germantown CtCordovaTNActive
DSH440049EKChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSSutherland Cardiology - South1251 Wesley DrMemphisTNActive
DSH440049ELChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSSutherland Cardiology - MPB1211 Union AveMemphisTNActive
DSH440049EMChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSSutherland Cardiology - North3950 New Covington PikeMemphisTNActive
DSH440049ENChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSSutherland Cardiology - Germantown7460 Wolf River BlvdGermantownTNActive
DSH440049EPChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Slade3950 New Covington PikeMemphisTNActive
DSH440049EQChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Southwind Sanderlin5182 Sanderlin AveMemphisTNActive
DSH440049ERChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSSouthwind Medical Specialists - GI3725 Champion Hills DrMemphisTNActive
DSH440049ESChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Southwind Champion Hills3725 Champion Hills DrMemphisTNActive
DSH440049ETChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - PennMarc6401 Poplar AveMemphisTNTerminated
DSH440049EUChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Peabody1325 Eastmoreland AveMemphisTNActive
DSH440049EVChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Motley1264 Wesley DrMemphisTNActive
DSH440049EWChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group Midtown1533 Union AveMemphisTNActive
DSH440049EXChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - MFM Stone Creek9047 Poplar AveGermantownTNActive
DSH440049EYChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - MFM Cordova8115 Country Village DrCordovaTNActive
DSH440049EZChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - MFM Bartlett2589 Appling RdBartlettTNActive
DSH440049FAChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Lakeland2961 Canada RdLakelandTNActive
DSH440049FBChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Kraus7550 Wolf River BlvdGermantownTNActive
DSH440049FCChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Highland3473 Poplar AveMemphisTNActive
DSH440049FDChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Haque6401 Poplar AveMemphisTNActive
DSH440049FEChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Foundation7690 Wolf River CirGermantownTNActive
DSH440049FFChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Endocrinology6401 Poplar AveMemphisTNActive
DSH440049FGChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Eastmoreland1325 Eastmoreland AveMemphisTNActive
DSH440049FHChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Covington Pike3789 Covington PikeMemphisTNActive
DSH440049FJChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Comprehensive76 Capital WayAtokaTNActive
DSH440049FKChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Brighton1880 Old Hwy 51 SBrightonTNActive
DSH440049FLChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Bartlett6570 Summer Oaks CvBartlettTNActive
DSH440049FMChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Arthritis Group1211 Union AveMemphisTNActive
DSH440049FNChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Outpatient Center East / Rehab100 N Humphreys BlvdMemphisTNActive
DSH440049FPChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Outpatient Center East / Radiology100 N Humphreys BlvdMemphisTNActive
DSH440049FQChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSLe Bonheur Research Center - East - Pediatric Clinical Research (DTU)100 N Humphreys BlvdMemphisTNActive
DSH440049FRChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP OTOLARNGOLOGY - Head and Neck Surgery1325 Eastmoreland AveMemphisTNActive
DSH440049FSChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - South - Primary Care1251 Wesley DrMemphisTNActive
DSH440049FTChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Weight Management - Bariatrics57 Germantown CtCordovaTNActive
DSH440049FUChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Total Health - Total Health1204 West Poplar AveColliervilleTNTerminated
DSH440049FVChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSGermantown Infusion Center - Infusion Center2170 S Germantown RdGermantownTNActive
DSH440049FWChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUTMP Medical Oncology - Medical Oncology1265 Union AveMemphisTNActive
DSH440049FXChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Medical Group - Neurology1325 Eastmoreland AveMemphisTNActive
DSH440049FYChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSSutherland - Cardiology Clinic57 Germantown CtCordovaTNActive
DSH440049FZChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Germantown - Infusion Clinic7655 Poplar AveGermantownTNActive
DSH440049GChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSOncology240 Grandview DrBrightonTNTerminated
DSH440049GAChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUT Methodist Physicians - Cardiology1211 Union AveMemphisTNActive
DSH440049GBChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUT Methodist Physicians - Bariatric Surgery - Collierville1204 W Poplar AveColliervilleTNActive
DSH440049GCChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSUT Methodist Physicians - Bariatric Surgery - Champion Hills3725 Champion Hills DrMemphisTNApproved
DSH440049GDChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSSutherland Cardiology - Brighton - Cardiology1880 Old Highway 51 SBrightonTNApproved
DSH440049JChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSOncology Clinic7668 Airways BlvdSouthavenMSTerminated
DSH440049KChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Labor and Delivery1300 Wesley DrMemphisTNActive
DSH440049LChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Respiratory Therapy1300 Wesley DrMemphisTNActive
DSH440049MChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Operating Room1300 Wesley DrMemphisTNActive
DSH440049NChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Same Day Surgery1300 Wesley DrMemphisTNActive
DSH440049PChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - GI Lab1300 Wesley DrMemphisTNActive
DSH440049QChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Emergency Department1300 Wesley DrMemphisTNActive
DSH440049RChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Non-Acute Area1300 Wesley DrMemphisTNActive
DSH440049SChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Cardiovascular Services1300 Wesley DrMemphisTNActive
DSH440049TChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Catheterization Lab1300 Wesley DrMemphisTNActive
DSH440049UChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Radiology - Diagnostic1300 Wesley DrMemphisTNActive
DSH440049VChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Radiology - CT Scan1300 Wesley DrMemphisTNActive
DSH440049WChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - MRI1300 Wesley DrMemphisTNActive
DSH440049XChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist South Hospital - Nuclear Medicine1300 Wesley DrMemphisTNActive
DSH440049YChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist Comprehensive Wound Care Center1251 Wesley Dr, Suite 107MemphisTNActive
DSH440049ZChildDSHMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMethodist North Hospital - Operating Room3960 New Covington PikeMemphisTNActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesShipping AddressDeleteRecertificationSAFECOR HEALTH, LLC MLB 4060 Business Park Suite B Columbus, OH 43204 9/6/2024 11:17 AM
AddressesShipping AddressDeleteRecertificationSAFECOR HEALTH, LLC MHCN 4060 Business Park Suite B Columbus, OH 43204 9/6/2024 11:17 AM
AddressesShipping AddressDeleteRecertificationSAFECOR HEALTH, LLC MHSP 4060 Business Park Suite B Columbus, OH 43204 9/6/2024 11:17 AM
AddressesShipping AddressDeleteRecertificationSAFECOR HEALTH, LLC MHC3 4060 Business Park Suite B Columbus, OH 43204 9/6/2024 11:17 AM
AddressesShipping AddressDeleteRecertificationSAFECOR HEALTH, LLC MCHLD 4060 Business Park Suite B Columbus, OH 43204 9/6/2024 11:17 AM
Medicaid BillingNPI: NumberInsertRecertification 12257231339/6/2024 11:17 AM
Medicaid BillingNPI: StateInsertRecertification AR9/6/2024 11:17 AM
Medicaid BillingNPI: NumberInsertRecertification 12453833559/6/2024 11:17 AM
Medicaid BillingNPI: StateInsertRecertification MS9/6/2024 11:17 AM
Medicaid BillingNPI: NumberInsertRecertification 12453833559/6/2024 11:17 AM
Medicaid BillingNPI: StateInsertRecertification TN9/6/2024 11:17 AM
Medicaid BillingNPI: NumberInsertRecertification 12453833559/6/2024 11:17 AM
Medicaid BillingNPI: StateInsertRecertification AR9/6/2024 11:17 AM
DetailsLast Recertification DateUpdateRecertification8/29/2023 12:50:15 PM9/6/2024 11:17:08 AM9/6/2024 11:17 AM
ContactsPrimary ContactUpdateProfile Change RequestHilty, Chris Pharmacy Supply Chain/ 340B Manager Methodist Healthcare - Memphis Hospitals 9015167570Hilty, Chris Director - Pharmacy Supply Chain Methodist Le Bonheur Healthcare 90151675701/29/2024 7:33 AM
DetailsLast Recertification DateUpdateRecertification9/15/2022 12:52:58 PM8/29/2023 12:50:15 PM8/29/2023 12:50 PM
AddressesShipping AddressInsertChange Request MLH Shelby Oaks Pharmacy 5865 Shelby Oaks Drive Memphis, TN 381344/11/2023 1:34 PM
Medicaid BillingNPI: NumberInsertChange Request 12257231334/11/2023 1:34 PM
Medicaid BillingNPI: StateInsertChange Request TN4/11/2023 1:34 PM
Medicaid BillingNPI: NumberInsertChange Request 12257231334/11/2023 1:34 PM
Medicaid BillingNPI: StateInsertChange Request MS4/11/2023 1:34 PM
ContactsPrimary ContactUpdateChange RequestBell, Christopher Neil 340B Program Manager Methodist Healthcare- Memphis Hospitals 9015162440Hilty, Chris Pharmacy Supply Chain/ 340B Manager Methodist Healthcare - Memphis Hospitals 90151675704/11/2023 1:34 PM
DetailsLast Recertification DateUpdateRecertification9/13/2021 4:27:42 PM9/15/2022 12:52:58 PM9/15/2022 12:52 PM
DetailsLast Recertification DateUpdateRecertification9/10/2020 7:27:29 PM9/13/2021 4:27:42 PM9/13/2021 4:27 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False9/10/2020 7:27 PM
Medicaid BillingMedicaid: NumberInsertRecertification 047262059/10/2020 7:27 PM
Medicaid BillingMedicaid: StateInsertRecertification MS9/10/2020 7:27 PM
Medicaid BillingNPI: NumberDeleteRecertification1558365890 ( ) 9/10/2020 7:27 PM
Medicaid BillingNPI: NumberDeleteRecertification1801819818 ( ) 9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 13867098719/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification MS9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 15184798319/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification MS9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 15583658909/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification MS9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 16496544509/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification MS9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 18018198189/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification MS9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 13867098719/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification TN9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 15184798319/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification TN9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 15583658909/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification TN9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 16496544509/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification TN9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 18018198189/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification TN9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 13867098719/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification AR9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 15184798319/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification AR9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 15583658909/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification AR9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 16496544509/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification AR9/10/2020 7:27 PM
Medicaid BillingNPI: NumberInsertRecertification 18018198189/10/2020 7:27 PM
Medicaid BillingNPI: StateInsertRecertification AR9/10/2020 7:27 PM
Medicaid BillingNPI: NumberDeleteRecertification1386709871 ( ) 9/10/2020 7:27 PM
Medicaid BillingNPI: NumberDeleteRecertification1649654450 ( ) 9/10/2020 7:27 PM
Medicaid BillingNPI: NumberDeleteRecertification1518479831 ( ) 9/10/2020 7:27 PM
DetailsLast Recertification DateUpdateRecertification8/29/2019 10:54:05 AM9/10/2020 7:27:29 PM9/10/2020 7:27 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False8/29/2019 10:54 AM
Medicaid BillingMedicaid: NumberInsertRecertification 14528568/29/2019 10:54 AM
Medicaid BillingMedicaid: StateInsertRecertification TN8/29/2019 10:54 AM
DetailsLast Recertification DateUpdateRecertification8/28/2018 9:26:37 AM8/29/2019 10:54:05 AM8/29/2019 10:54 AM
ContactsAuthorizing OfficialUpdateChange RequestMCLEAN, CHRIS SENIOR VP/CFO Methodist Healthcare - Memphis Hospitals 9015160753Lane, Chuck SVP/Associate CFO Methodist Healthcare - Memphis Hospitals 901516054912/6/2018 12:36 PM
DetailsLast Recertification DateUpdateRecertification11/16/2017 7:44:29 AM8/28/2018 9:26:37 AM8/28/2018 9:26 AM
AddressesShipping AddressDeleteChange RequestMethodist Germantown Outpatient Pharmacy 7705 Poplar Ave Germantown, TN 38138 6/1/2018 7:44 AM
AddressesShipping AddressInsertChange Request Methodist Germantown Outpatient Pharmacy 7705 Poplar Ave, Suite 170 Germantown, TN 381386/1/2018 7:44 AM
AddressesShipping AddressInsertChange Request Methodist Germantown Outpatient Pharmacy 7705 Poplar Ave Germantown, TN 381385/23/2018 4:32 PM
ContactsPrimary ContactUpdateChange RequestApple, Alison L. Administrative Director, Pharmacy Methodist Healthcare - Memphis Hospitals 9015162292Bell, Christopher Neil 340B Program Manager Methodist Healthcare- Memphis Hospitals 90151624403/12/2018 10:26 AM
Medicaid BillingNPI: NumberInsertChange Request 15184798311/4/2018 12:00 PM
DetailsLast Recertification DateUpdateRecertification8/10/2016 12:00:00 AM11/16/2017 7:44:29 AM11/16/2017 7:44 AM
ContactsPrimary ContactUpdate Apple, Alison L. Administrative Director, Pharmacy 9015162292Apple, Alison L. Administrative Director, Pharmacy Methodist Healthcare - Memphis Hospitals 901516229210/5/2017 5:24 PM
ContactsAuthorizing OfficialUpdate MCLEAN, CHRIS SENIOR VP/CFO 9015160753MCLEAN, CHRIS SENIOR VP/CFO Methodist Healthcare - Memphis Hospitals 901516075310/2/2017 10:21 AM
ContactsAuthorizing OfficialInsert  MCLEAN, CHRIS SENIOR VP/CFO 90151607537/18/2017 8:47 AM
ContactsPrimary ContactInsert  Apple, Alison L. Administrative Director, Pharmacy 90151622927/13/2017 10:40 AM
AddressesMain AddressInsert   1265 Union Ave Memphis, TN 381047/13/2017 10:39 AM
AddressesBilling AddressInsert  Methodist Healthcare - Memphis Hospitals P.O. Box 41058 Memphis, TN 381747/13/2017 10:39 AM
AddressesShipping AddressInsert  METHODIST HEALTHCARE-CENTRAL, METHODIST HEALTHCARE UNIV. DEPARTMENT OF PHARMACY 1265 Union Ave Memphis, TN 381047/13/2017 10:39 AM
AddressesShipping AddressInsert  METHODIST HEALTHCARE, DISCHARGE PHARMACY 1265 Union Ave Memphis, TN 381047/13/2017 10:39 AM
AddressesShipping AddressInsert  SAFECOR HEALTH, LLC MLB 4060 Business Park Suite B Columbus, OH 432047/13/2017 10:39 AM
AddressesShipping AddressInsert  SAFECOR HEALTH, LLC MHCN 4060 Business Park Suite B Columbus, OH 432047/13/2017 10:39 AM
AddressesShipping AddressInsert  SAFECOR HEALTH, LLC MHSP 4060 Business Park Suite B Columbus, OH 432047/13/2017 10:39 AM
AddressesShipping AddressInsert  SAFECOR HEALTH, LLC MHC3 4060 Business Park Suite B Columbus, OH 432047/13/2017 10:39 AM
AddressesShipping AddressInsert  SAFECOR HEALTH, LLC MCHLD 4060 Business Park Suite B Columbus, OH 432047/13/2017 10:39 AM
Medicaid BillingNPI: NumberInsert  164965445011/15/2016 2:57 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False11/15/2016 2:57 PM
Medicaid BillingMedicaid: NumberInsert  604508811/15/2016 2:57 PM
Medicaid BillingMedicaid: StateInsert  TN11/15/2016 2:57 PM
Medicaid BillingNPI: NumberInsert  138670987111/15/2016 2:57 PM
DetailsLast Recertification DateUpdate 8/5/2015 12:00:00 AM8/10/2016 12:00:00 AM8/10/2016 5:38 PM
Medicaid BillingMedicaid: Is PrimaryUpdate TrueFalse8/6/2015 6:52 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False8/6/2015 6:52 PM
Medicaid BillingMedicaid: NumberInsert  6204793678/6/2015 6:52 PM
Medicaid BillingMedicaid: StateInsert  MS8/6/2015 6:52 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False8/6/2015 6:52 PM
Medicaid BillingMedicaid: NumberInsert  30184318/6/2015 6:52 PM
Medicaid BillingMedicaid: StateInsert  TN8/6/2015 6:52 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False8/6/2015 6:52 PM
Medicaid BillingMedicaid: NumberInsert  6204793678/6/2015 6:52 PM
Medicaid BillingMedicaid: StateInsert  TN8/6/2015 6:52 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False8/6/2015 6:52 PM
Medicaid BillingMedicaid: NumberInsert  00094858/6/2015 6:52 PM
Medicaid BillingMedicaid: StateInsert  TN8/6/2015 6:52 PM
DetailsLast Recertification DateUpdate 8/14/2014 12:00:00 AM8/5/2015 12:00:00 AM8/6/2015 6:52 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False7/10/2015 11:34 AM
Medicaid BillingMedicaid: NumberInsert  063551737/10/2015 11:34 AM
Medicaid BillingMedicaid: StateInsert  MS7/10/2015 11:34 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False7/10/2015 11:34 AM
Medicaid BillingMedicaid: NumberInsert  057398727/10/2015 11:34 AM
Medicaid BillingMedicaid: StateInsert  MS7/10/2015 11:34 AM
Medicaid BillingNPI: NumberInsert  18018198187/10/2015 11:34 AM
DetailsLast Recertification DateUpdate 9/3/2013 12:00:00 AM8/14/2014 12:00:00 AM8/14/2014 3:18 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False7/17/2014 8:42 AM
Medicaid BillingMedicaid: NumberInsert  000204697/17/2014 8:42 AM
Medicaid BillingMedicaid: StateInsert  MS7/17/2014 8:42 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False7/17/2014 8:42 AM
Medicaid BillingMedicaid: NumberInsert  1071151057/17/2014 8:42 AM
Medicaid BillingMedicaid: StateInsert  AR7/17/2014 8:42 AM
Medicaid BillingNPI: NumberInsert  15583658907/17/2014 8:42 AM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM9/3/2013 12:00:00 AM9/3/2013 4:19 PM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/18/2012 12:23 PM
DetailsLast Recertification DateInsert   9/16/2010 5:41 PM
DetailsGrant NumberInsert   9/16/2010 5:41 PM
Details340B IDInsert  DSH4400499/16/2010 5:41 PM
DetailsIs Authorizing Official EHB DataInsert   9/16/2010 5:41 PM
DatesLast Date That 340B Drugs PurchasedInsert   9/16/2010 5:41 PM
DetailsMedicare Provider NumberInsert  4400499/16/2010 5:41 PM
DetailsEntity NameInsert  METHODIST HEALTHCARE - MEMPHIS HOSPITALS9/16/2010 5:41 PM
DetailsProgram CodeInsert  DSH9/16/2010 5:41 PM
DetailsEntity SubnameInsert   9/16/2010 5:41 PM
DatesParticipating Approval DateInsert  4/25/2008 12:00:00 AM9/16/2010 5:41 PM
DetailsStateInsert  Active9/16/2010 5:41 PM
DatesRegistration DateInsert  4/25/2008 12:00:00 AM9/16/2010 5:41 PM
DatesSigned By DateInsert   9/16/2010 5:41 PM
DatesStart DateInsert  7/1/2004 12:00:00 AM9/16/2010 5:41 PM
TerminationsTermination CommentsInsert   9/16/2010 5:41 PM
TerminationsTermination DateInsert   9/16/2010 5:41 PM
TerminationsTermination Effective DateInsert   9/16/2010 5:41 PM
TerminationsTermination ReasonInsert   9/16/2010 5:41 PM
DetailsComments PublicInsert  8/16/10 SHIPPING ADDED - 7/15/04 ADDR CORRECTION (WAS 1265 UNION AVE)-9/16/10 UPDATED ADDR (WAS 221 S. CLAYBROOK MEMPHIS TN 38104)9/16/2010 5:41 PM
Medicaid BillingMedicaid: Is PrimaryInsert  True4/25/2008 1:44 PM
Medicaid BillingMedicaid: NumberInsert  04400494/25/2008 1:44 PM
Medicaid BillingMedicaid: StateInsert  TN4/25/2008 1:44 PM