Mid-South Maternal Fetal Medicine Pc
LBN: Mid-South Maternal Fetal Medicine Pc
Mid-South Maternal Fetal Medicine Pc is an health care organization with primary practice located at 6266 Poplar Ave , Memphis TN 38119-4713. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as the primary health care specialty.
Mid-South Maternal Fetal Medicine Pc can be contacted via phone (901) 682-2595, or through Gibson, Eric W via phone (901) 373-8949.
Contact Information
Primary practice address
6266 Poplar Ave
Memphis TN 38119-4713
Phone: (901) 682-2595
Fax: (901) 682-2549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X |
Profile Details
| NPI number | 1184662579 |
|---|---|
| LBN Legal business name | Mid-South Maternal Fetal Medicine Pc |
| DBA Doing business as | |
| Authorized official | Gibson, Eric W |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Mar 11th, 2024 - about 8 months 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 | 1184662579 | NPPES |
| Arkansas | Other | 8P412 | BCBS AR |
| Arkansas | MEDICAID | 07470206 | BCBS AR |
| Arkansas | MEDICAID | 155822002 | BCBS AR |
| Arkansas | MEDICAID | 3720439 | BCBS AR |
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