Provider Demographics
NPI:1154602282
Name:UNITED NEIGHBORHOOD HEALTH SERVICES, INC
Entity type:Organization
Organization Name:UNITED NEIGHBORHOOD HEALTH SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 AVENUE
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:615-620-7759
Mailing Address - Fax:615-515-5773
Practice Address - Street 1:639 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-256-0197
Practice Address - Fax:615-256-0198
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED NEIGHBORHOOD HEALTH SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-02
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3379411Medicare Oscar/Certification