Arkansas Phs Pa

LBN: Arkansas Phs Pa
Arkansas Phs Pa is an health care organization with primary practice located at 609 Sw 8Th Street Suite 600, Bentonville AR 72712-8913. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Arkansas Phs Pa can be contacted via phone (901) 261-4848, or through Howard, Nicole via phone (337) 991-9276.

Contact Information

Primary practice address
609 Sw 8Th Street Suite 600 Bentonville AR 72712-8913
Phone: (901) 261-4848
Fax: (901) 261-4849
Website:
Map and Directions
Authorized official contact:
Name: Howard, Nicole
Phone: (337) 991-9276

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1194956516
LBN Legal business name Arkansas Phs Pa
DBA Doing business as
Authorized official Howard, Nicole
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 3rd, 2009
Last updated Jul 2nd, 2014 - about 10 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 1194956516 NPPES
Arkansas MEDICAID 190440762

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