Mid South Health Care, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MID SOUTH HEALTH CARE, PLLC

Doing business as

Mid South Health Care

Practice address

1028 N. Missouri
Ste 7
West Memphis, AR 72301

Phone

(870) 735-0600

Fax

(870) 735-0608

NPI assigned

Aug 10, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Claudia A Hazaga

Title

Executive Director

Phone

(888) 708-8886

Specialties & licenses 1

Addresses

Other names 1

• Mid South Health Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1366721177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 N. MISSOURI",
            "address_2": "STE 7",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "72301",
            "telephone_number": "870-735-0600",
            "fax_number": "870-735-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N. MISSOURI",
            "address_2": "STE 7",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "72301",
            "telephone_number": "870-735-0600",
            "fax_number": "870-735-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "HAZAGA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-708-8886",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid South Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.