3601

LBN: 3601
3601 is an health care organization with primary practice located at 1701 W Clark Rd , Clarksville AR 72830-3915. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. 3601 can be contacted via phone (479) 705-3200, or through Johnston, Don via phone (479) 705-3200.

Contact Information

Primary practice address
1701 W Clark Rd Clarksville AR 72830-3915
Phone: (479) 705-3200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnston, Don
Phone: (479) 705-3200

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1982852042
LBN Legal business name 3601
DBA Doing business as
Authorized official Johnston, Don
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2008
Last updated Sep 3rd, 2008 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982852042 NPPES
Arkansas MEDICAID 116711743

Popular Providers