<Unavail>

LBN: Darsalud Community Center Inc
<Unavail> is an health care organization with primary practice located at 6063 Mount Moriah Road Ext Ste 4 , Memphis TN 38115-2665. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Darsalud Community Center Inc can be contacted via phone (901) 531-8800, or through Fuller, Andrea via phone (901) 922-5951.

Contact Information

Primary practice address
6063 Mount Moriah Road Ext Ste 4 Memphis TN 38115-2665
Fax: (901) 531-8801
Website:
Authorized official contact:
Name: Fuller, Andrea MAML, CPC

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1174184709
LBN Legal business name Darsalud Community Center Inc
DBA Doing business as <Unavail>
Authorized official Fuller, Andrea MAML, CPC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2019
Last updated Apr 21st, 2026 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174184709 NPPES
Tennessee MEDICAID Q051384

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