Memphis Heart Clinic

LBN: West Clinic, Pc
Memphis Heart Clinic is an health care organization with primary practice located at 1790 Hospital Drive , Clarksdale MS 38614-7202. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. West Clinic, Pc can be contacted via phone (662) 349-1900, or through Davis, Ronald O via phone (901) 683-0055.

Contact Information

Primary practice address
1790 Hospital Drive Clarksdale MS 38614-7202
Phone: (662) 349-1900
Fax: (662) 349-2443
Website:
Map and Directions
Authorized official contact:
Name: Davis, Ronald O
Phone: (901) 683-0055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1407084668
LBN Legal business name West Clinic, Pc
DBA Doing business as Memphis Heart Clinic
Authorized official Davis, Ronald O
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 26th, 2009
Last updated Nov 10th, 2011 - about 14 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 1407084668 NPPES
Mississippi MEDICAID 01900735

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