Jacksonville Medical Care
LBN: Arkansas Central Primary Care, Pllc
Jacksonville Medical Care is an health care organization with primary practice located at 1300 Braden St. , Jacksonville AR 72076-3719. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Arkansas Central Primary Care, Pllc can be contacted via phone (501) 985-5900, or through Jackson, Gary Drew via phone (501) 985-5994.
Contact Information
Primary practice address
1300 Braden St.
Jacksonville AR 72076-3719
Phone: (501) 985-5900
Fax: (501) 985-6016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X |
Profile Details
| NPI number | 1396996740 |
|---|---|
| LBN Legal business name | Arkansas Central Primary Care, Pllc |
| DBA Doing business as | Jacksonville Medical Care |
| Authorized official | Jackson, Gary Drew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2008 |
| Last updated | Feb 2nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396996740 | NPPES |
| Arkansas | MEDICAID | 176116002 | |
| Arkansas | MEDICAID | 142734002 |
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