M L Clemson Corporation

LBN: M L Clemson Corporation
M L Clemson Corporation is an health care organization with primary practice located at 602 Massachusetts Ave , Norfolk VA 23508-2118. The organization recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as the primary health care specialty. M L Clemson Corporation can be contacted via phone (757) 622-6673, or through Clemson, Mary Louise via phone (757) 622-6673.

Contact Information

Primary practice address
602 Massachusetts Ave Norfolk VA 23508-2118
Phone: (757) 622-6673
Fax: (757) 622-1086
Website:
Map and Directions
Authorized official contact:
Name: Clemson, Mary Louise PSY CNS
Phone: (757) 622-6673

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 0015000529 Virginia

Profile Details

NPI number 1033127188
LBN Legal business name M L Clemson Corporation
DBA Doing business as
Authorized official Clemson, Mary Louise PSY CNS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Mar 26th, 2008 - about 16 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 1033127188 NPPES
Virginia Other 101867 ANTHEM GROUP
Virginia Other C08982 ANTHEM GROUP
Virginia Other 101868 ANTHEM GROUP
Virginia Other P00071810 ANTHEM GROUP
Virginia Other 1750563086 ANTHEM GROUP

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