West Clinic, Pc
LBN: The West Clinic, Pllc
West Clinic, Pc is an health care organization with primary practice located at 7668 Airways Blvd , Southaven MS 38671-5304. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty.
The West Clinic, Pllc can be contacted via phone (662) 349-9556, or through Graves, John M via phone (901) 683-0055.
Contact Information
Primary practice address
7668 Airways Blvd
Southaven MS 38671-5304
Phone: (662) 349-9556
Fax: (662) 349-0559
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ||
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X |
Profile Details
NPI number | 1992877369 |
---|---|
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992877369 | NPPES |
Arkansas | MEDICAID | 132175002 | |
Arkansas | MEDICAID | 09013755 | |
Arkansas | MEDICAID | 500557509 | |
Arkansas | Other | 8P003 |
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