Arkansas Foot Clinic, Pa
LBN: Arkansas Foot Clinic, Pa
Arkansas Foot Clinic, Pa is an health care organization with primary practice located at 1501 Aldersgate Rd , Little Rock AR 72205-6611. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Arkansas Foot Clinic, Pa can be contacted via phone (501) 224-1501, or through Gold, Allan G via phone (501) 224-1501.
Contact Information
Primary practice address
1501 Aldersgate Rd
Little Rock AR 72205-6611
Phone: (501) 224-1501
Fax: (501) 376-7065
Website:
Authorized official contact:
Name: Gold, Allan G Doctor of Podiatric Medicine (DPM)
Phone: (501) 224-1501
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | Arkansas | |
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Arkansas |
Profile Details
NPI number | 1306816137 |
---|---|
LBN Legal business name | Arkansas Foot Clinic, Pa |
DBA Doing business as | |
Authorized official | Gold, Allan G Doctor of Podiatric Medicine (DPM) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 24th, 2006 |
Last updated | Jan 4th, 2019 - about 6 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 | 1306816137 | NPPES |
Arkansas | Other | 57258 | BLUE ADVANTAGE |
Arkansas | Other | 57258 | BLUE ADVANTAGE |
Arkansas | Other | CD4794 | BLUE ADVANTAGE |
Arkansas | Other | 57258 | BLUE ADVANTAGE |
Arkansas | Other | 57258 | BLUE ADVANTAGE |
Arkansas | Other | 57258 | BLUE ADVANTAGE |
Arkansas | MEDICAID | 119019748 | BLUE ADVANTAGE |
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