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Contact Information

WEST CLINIC, PC
7601 SOUTHCREST PKWY
SOUTHAVEN, MS38671-4739
 Phone: 901-683-0055
 Fax: 901-322-2970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for WEST CLINIC, PC

NPI # 1902081557
LBN Legal business name WEST CLINIC, PC
Authorized official STEVE COPLON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2008
Last updated 04/20/2008 - About 18 years ago
Identifiers
MS Medicaid 09013755
AR Other 8P003 AR BCBS
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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