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Contact Information

THE WEST CLINIC, PLLC
271 W POLK AVE
WEST MEMPHIS, AR72301-4228
 Phone: 870-735-5912
 Fax: 870-735-0507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THE WEST CLINIC, PLLC

NPI Number 1922350735
LBN Legal business name THE WEST CLINIC, PLLC
Authorized official JOHN GRAVES - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2012
Last updated 12/14/2021 - About 4 years ago
Identifiers
AR Medicaid 216539002
MS Medicaid 09013755
TN Medicaid 3704066
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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