Allergy & Asthma Clinic Of Northwest Arkansas

LBN: Allergy & Asthma Clinic Of Northwest Arkansas
Allergy & Asthma Clinic Of Northwest Arkansas is an health care organization with primary practice located at 1900 S Walton Blvd , Bentonville AR 72712-6755. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Allergy & Asthma Clinic Of Northwest Arkansas can be contacted via phone (479) 254-9777, or through Merritt, Tina K via phone (479) 254-9777.

Contact Information

Primary practice address
1900 S Walton Blvd Bentonville AR 72712-6755
Phone: (479) 254-9777
Fax: (479) 254-9729
Website:
Map and Directions
Authorized official contact:
Name: Merritt, Tina K Doctor of Medicine (MD)
Phone: (479) 254-9777

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E 2999 Arkansas

Profile Details

NPI number 1679640148
LBN Legal business name Allergy & Asthma Clinic Of Northwest Arkansas
DBA Doing business as
Authorized official Merritt, Tina K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Sep 13th, 2023 - 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 1679640148 NPPES
Arkansas MEDICAID 155052002

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