West Clinic, Pc

LBN: The West Clinic, Pllc
West Clinic, Pc is an health care organization with primary practice located at 2001 State Dr , Corinth MS 38834-9324. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. The West Clinic, Pllc can be contacted via phone (662) 286-3694, or through Graves, John M via phone (901) 683-0055.

Contact Information

Primary practice address
2001 State Dr Corinth MS 38834-9324
Phone: (662) 286-3694
Fax: (662) 286-3853
Website:
Map and Directions
Authorized official contact:
Name: Graves, John M
Phone: (901) 683-0055

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1235201617
LBN Legal business name The West Clinic, Pllc
DBA Doing business as West Clinic, Pc
Authorized official Graves, John M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Dec 14th, 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 1235201617 NPPES
Arkansas Other 8P003 BCBS AR
Arkansas MEDICAID 132175002 BCBS AR
Arkansas MEDICAID 500557509 BCBS AR
Arkansas MEDICAID 09013755 BCBS AR

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