Arkansas Primary Care Clinics Pa

LBN: Arkansas Primary Care Clinics Pa
Arkansas Primary Care Clinics Pa is an health care organization with primary practice located at 6209 W 12Th St , Little Rock AR 72204-1505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Arkansas Primary Care Clinics Pa can be contacted via phone (501) 663-5221, or through Lewis, Derek via phone (501) 663-5221.

Contact Information

Primary practice address
6209 W 12Th St Little Rock AR 72204-1505
Phone: (501) 663-5221
Fax: (501) 663-6759
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Derek Doctor of Medicine (MD)
Phone: (501) 663-5221

Health care specialties

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

Profile Details

NPI number 1750345427
LBN Legal business name Arkansas Primary Care Clinics Pa
DBA Doing business as
Authorized official Lewis, Derek Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2006
Last updated Feb 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750345427 NPPES
Arkansas MEDICAID 116778002

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