Mid - South Heart Center Pc

LBN: Mid - South Heart Center Pc
Mid - South Heart Center Pc is an health care organization with primary practice located at 48 Medical Center Dr , Jackson TN 38301-3947. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mid - South Heart Center Pc can be contacted via phone (731) 423-8383, or through Beard, Charlotte via phone (721) 423-8383.

Contact Information

Primary practice address
48 Medical Center Dr Jackson TN 38301-3947
Phone: (731) 423-8383
Fax: (731) 424-6309
Website:
Map and Directions
Authorized official contact:
Name: Beard, Charlotte
Phone: (721) 423-8383

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 33426 Tennessee

Profile Details

NPI number 1215982681
LBN Legal business name Mid - South Heart Center Pc
DBA Doing business as
Authorized official Beard, Charlotte
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Nov 4th, 2021 - about 3 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 1215982681 NPPES
Tennessee MEDICAID 3712931

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