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WEST CLINIC PC NPI 1457401416


NPI Information

NPI: 1457401416
Provider Name: WEST CLINIC PC

Doing Business As: MEMPHIS HEART CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6025 WALNUT GROVE RD
STE. 111
MEMPHIS, TN
ZIP 38120
Phone: (901) 818-0300
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WEST CLINIC PC is a specialist in Memphis, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WEST CLINIC PC NPI is 1457401416. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memphis Heart Clinic.

The provider's business location address is:

6025 WALNUT GROVE RD
STE. 111
MEMPHIS, TN
ZIP 38120-102
Phone: (901) 818-0300
Fax: (901) 818-0458

The provider's authorized official is Ronald O Davis .
The authorized official title is Cfo and has the following contact phone number (901) 683-0055.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 11/10/2011.


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
1174400000XSpecialistYes

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
109015177MEDICAIDMISSISSIPPI
28P003OTHERARKANSASBCBS
3=========OTHERCHAMPUS
4C00622MEDICARE PINMISSISSIPPI
5CH5373OTHERMISSISSIPPIRAIL ROAD MEDICARE
6CN1272OTHERTENNESSEERAIL ROAD MEDICARE
73704068MEDICAIDTENNESSEE
83704068MEDICARE PINTENNESSEE
97100204OTHERTENNESSEEAETNA

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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