Heart & Vascular Center Of West Tennessee

LBN: Delta Convenient Care Pc
Heart & Vascular Center Of West Tennessee is an health care organization with primary practice located at 17 Centre Plaza Dr , Jackson TN 38305-2862. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Delta Convenient Care Pc can be contacted via phone (731) 512-0104, or through Hage-Korban, Elie via phone (731) 512-0104.

Contact Information

Primary practice address
17 Centre Plaza Dr Jackson TN 38305-2862
Phone: (731) 512-0104
Fax: (731) 512-0938
Website:
Map and Directions
Authorized official contact:
Name: Hage-Korban, Elie Doctor of Medicine (MD)
Phone: (731) 512-0104

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1629016399
LBN Legal business name Delta Convenient Care Pc
DBA Doing business as Heart & Vascular Center Of West Tennessee
Authorized official Hage-Korban, Elie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 5th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629016399 NPPES
Tennessee MEDICAID 3720558

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