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THE WEST CLINIC PLLC NPI 1164594081


NPI Information

NPI: 1164594081
Provider Name: THE WEST CLINIC PLLC

Former Legal Business Name: WEST CLINIC, PC

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 44D1023770

Address:
240 GRANDVIEW DRIVE
BRIGHTON, TN
ZIP 38011
Phone: (901) 475-0678
Get Directions

THE WEST CLINIC PLLC is a hematology and oncology internal medicine in Brighton, TN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. THE WEST CLINIC PLLC NPI is 1164594081. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is West Clinic, Pc.

The provider's business location address is:

240 GRANDVIEW DRIVE
BRIGHTON, TN
ZIP 38011-253
Phone: (901) 475-0678
Fax: (901) 475-3927

The provider's authorized official is John M Graves .
The authorized official title is Ceo and has the following contact phone number (901) 683-0055.

The CLIA number assigned to this NPI record is 44D1023770 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 12/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1132175002MEDICAIDARKANSAS
2500557509MEDICAIDMISSOURI
30106442OTHERTENNESSEEBCBS TN
409013755MEDICAIDMISSISSIPPI
53704066MEDICAIDTENNESSEE
68P003OTHERARKANSASBCBS AR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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