West Clinic, Pc

LBN: West Clinic Astc
West Clinic, Pc is an health care organization with primary practice located at 7945 Wolf River Blvd , Germantown TN 38138. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. West Clinic Astc can be contacted via phone (901) 683-0055, or through Davis, Ron M via phone (901) 683-0055.

Contact Information

Primary practice address
7945 Wolf River Blvd Germantown TN 38138
Phone: (901) 683-0055
Fax: (901) 685-2969
Website:
Map and Directions
Authorized official contact:
Name: Davis, Ron M
Phone: (901) 683-0055

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1467472688
LBN Legal business name West Clinic Astc
DBA Doing business as West Clinic, Pc
Authorized official Davis, Ron M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 20th, 2006
Last updated Aug 20th, 2018 - about 6 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 1467472688 NPPES
Mississippi MEDICAID 9013755
Mississippi MEDICAID 3288607
Mississippi MEDICAID 500557509
Mississippi Other 8P003
Mississippi MEDICAID 132175002
Mississippi Other 0106442

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