Family Cancer Center, Pllc
LBN: Family Cancer Center, Pllc
Family Cancer Center, Pllc is an health care organization with primary practice located at 391 Southcrest Cir Suite 101, Southaven MS 38671-4848. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Other Service Providers / Specialist is the primary health care specialty.
Family Cancer Center, Pllc can be contacted via phone (662) 349-0755, or through Walsh, William K via phone (901) 685-5655.
Contact Information
Primary practice address
391 Southcrest Cir Suite 101
Southaven MS 38671-4848
Phone: (662) 349-0755
Fax: (662) 349-0356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 19652 | Tennessee |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 18137 | Mississippi |
Profile Details
| NPI number | 1407862899 |
|---|---|
| LBN Legal business name | Family Cancer Center, Pllc |
| DBA Doing business as | |
| Authorized official | Walsh, William K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Mar 9th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407862899 | NPPES |
| Mississippi | MEDICAID | 090015910 | |
| Mississippi | MEDICAID | 0090015910 | |
| Mississippi | Other | CK3826 |
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