Adult Medicine Clinic Of Blytheville, P.C.

LBN: Adult Medicine Clinic Of Blytheville, P.C.
Adult Medicine Clinic Of Blytheville, P.C. is an health care organization with primary practice located at 519 N 6Th St , Blytheville AR 72315-2407. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Adult Medicine Clinic Of Blytheville, P.C. can be contacted via phone (870) 762-5800, or through Mittal, Shalender via phone (870) 762-5800.

Contact Information

Primary practice address
519 N 6Th St Blytheville AR 72315-2407
Phone: (870) 762-5800
Fax: (870) 762-5801
Website:
Map and Directions
Authorized official contact:
Name: Mittal, Shalender Doctor of Medicine (MD)
Phone: (870) 762-5800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E2710 Arkansas

Profile Details

NPI number 1528017761
LBN Legal business name Adult Medicine Clinic Of Blytheville, P.C.
DBA Doing business as
Authorized official Mittal, Shalender Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2006
Last updated Apr 11th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528017761 NPPES
Arkansas MEDICAID 161250002
Arkansas MEDICAID 141358001
Arkansas Other P00326909
Arkansas Other 19103000000
Arkansas Other 9360340
Arkansas Other DE9450

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