Arkansas Cancer Institute

LBN: Arkansas Cancer Clinic, Pa
Arkansas Cancer Institute is an health care organization with primary practice located at 7200 South Hazel , Pine Bluff AR 71603. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Arkansas Cancer Clinic, Pa can be contacted via phone (870) 535-2800, or through Atiq, Omar Taimoor via phone (870) 535-2800.

Contact Information

Primary practice address
7200 South Hazel Pine Bluff AR 71603
Phone: (870) 535-2800
Fax: (870) 535-2801
Website:
Map and Directions
Authorized official contact:
Name: Atiq, Omar Taimoor Doctor of Medicine (MD)
Phone: (870) 535-2800

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X R4174 Arkansas

Profile Details

NPI number 1760448542
LBN Legal business name Arkansas Cancer Clinic, Pa
DBA Doing business as Arkansas Cancer Institute
Authorized official Atiq, Omar Taimoor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Dec 17th, 2009 - about 15 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 1760448542 NPPES
Arkansas MEDICAID 119286002

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