Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Baptist Heart Transplant and MCS Center before sending sensitive documents. FaxFlow is not affiliated with this organization.
Baptist Heart Transplant and MCS Center fax number
(901) 226-2010
Heart Transplant and Mechanical Circulatory Support Center
Used for: Heart transplant and LVAD referral
Fax destination details
- Department
- Heart Transplant and Mechanical Circulatory Support Center
- Purpose
- Heart transplant and LVAD referral
- Form
- Transplant/VAD Referral Information Form — Heart Transplant/VAD Referral Information Form
- Address
- 6025 Walnut Grove Rd Ste 111, Memphis, TN 38120, USA
- Voice phone
- 901-226-3712
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Submit patient demographics and insurance verification, referring physician contact with address/phone/fax, medical history and physical, latest clinic note, labs, current medications, echocardiogram, catheterization report; include CD of latest cath film; fax to 901-226-2010.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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