Organization
BELLEVUE MEDICAL GROUP, LLC
Active
Other names
West End Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P. HOUSER (PRESIDENT AND CEO)
(615) 284-6861
Entity
Organization
Contact information
Practice address
4230 HARDING RD, SUITE 530 HEART INSTITUTE, NASHVILLE, TN 37205-2013
(615) 297-6006
(615) 298-6778
Mailing address
PO BOX 504556, SAINT LOUIS, MO 63150-0001
(615) 297-6006
(615) 298-6778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3374489
—
TN
01
—
4028930
BLUE CROSS BLUE SHIELD
TN
01
—
DG9953
RAILROAD MEDICARE
TN
Enumeration date
06/28/2007
Last updated
05/15/2008
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