Shea Clinic is a Ambulatory Surgical in Memphis, Tennessee. Shea Clinic practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Shea Clinic is 1760447015. The last update date is 2010-10-21.
Shea Clinic's current location address is Po Box 17987, Memphis, Tennessee. You can contact this provider via phone number 9017619720 and fax number 9016838440. The mailing address for Shea Clinic is Po Box 17987, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shea Clinic |
|---|---|
| Address | Po Box 17987, Memphis, Tennessee |
| Phone Number | 9017619720 |
| Fax Number | 9016838440 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Gross R John |
| Telephone Number | 9017619720 |
NPI Number Detail
| NPI Number | 1760447015 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2010-10-21 |
Provider Mailing Address Detail
| Address | Po Box 17987 |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381870987 |
| Phone Number | 9017619720 |
| Fax Number | 9016838440 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 50 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490000678 | TN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shea Clinic by the Centers for Medicare & Medicaid Services?
The Shea Clinic has been assigned the NPI (National Provider Identifier) 1760447015 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Shea Clinic's physical address?
The Shea Clinic is physically located at Po Box 17987, in the city of Memphis, TN, with the postal code 381870987.
What is the Shea Clinic's specialty and taxonomy code?
The Shea Clinic's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
When was the Shea Clinic's 1760447015 issued?
The Shea Clinic's 1760447015 was issued on 2006-04-19.
As of what date was the information pertaining to Shea Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shea Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-10-21.