Shea Clinic, Asc

LBN: Shea Clinic
Shea Clinic, Asc is an health care organization with primary practice located at 6133 Poplar Pike , Memphis TN 38119-4707. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Shea Clinic can be contacted via phone (901) 761-9720, or through Gross, John R via phone (901) 761-9720.

Contact Information

Primary practice address
6133 Poplar Pike Memphis TN 38119-4707
Phone: (901) 761-9720
Fax: (901) 683-8440
Website:
Map and Directions
Authorized official contact:
Name: Gross, John R
Phone: (901) 761-9720

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0000000050 Tennessee

Profile Details

NPI number 1760447015
LBN Legal business name Shea Clinic
DBA Doing business as Shea Clinic, Asc
Authorized official Gross, John R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Oct 21st, 2010 - about 16 years 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 1760447015 NPPES
Tennessee Other 490000678 RAILROAD MEDICARE

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