The West Clinic, Pllc, NPI 1235201617
Specialist in Corinth, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1235201617
NPI Entity Type Organization
Provider Name The West Clinic, Pllc
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2001 State Dr, Corinth, MS, US
Provider Mailing Address 7714 Poplar Ave Ste 200, Germantown, TN, US, 381383941
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MR. John M Graves
Official Position CEO
Phone 901-683-0055

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

174400000X

Taxonomy Name Specialist
Classification

Specialist

Group

Other Service Providers

Description 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.

Other Organization Name

West Clinic, PC
Former Legal Business Name

Business Address

The West Clinic, Pllc
2001 State Dr

Corinth, MS, US

Phone: 662-286-3694
Fax: 662-286-3853

Mailing Address

The West Clinic, Pllc
7714 Poplar Ave Ste 200
Germantown, TN, US
ZIP 381383941
Phone: 901-683-0055
Fax: 901-922-6722

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
8P003 AR BCBS AR 01
132175002 AR MEDICAID 05
500557509 MO MEDICAID 05
09013755 MS MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 2001 State Dr, Corinth, MS, US

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