Provider Demographics
NPI:1275207052
Name:WESTMORELAND CLINICAL INC.
Entity Type:Organization
Organization Name:WESTMORELAND CLINICAL INC.
Other - Org Name:WESTMORELAND CLINICAL INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMD/AO
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:812-944-6500
Mailing Address - Street 1:1945 STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4943
Mailing Address - Country:US
Mailing Address - Phone:812-944-6500
Mailing Address - Fax:812-944-6900
Practice Address - Street 1:1945 STATE ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4943
Practice Address - Country:US
Practice Address - Phone:812-944-6500
Practice Address - Fax:812-944-6900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty