Child & Youth Pediatric Day Clinic
LBN: Ascent Acquisitions Corp-Cypdc
Child & Youth Pediatric Day Clinic is an health care organization with primary practice located at 806 Glendale St , Jonesboro AR 72401-4455. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty.
Ascent Acquisitions Corp-Cypdc can be contacted via phone (870) 933-9528, or through Allgood, Holly via phone (870) 819-0232.
Contact Information
Primary practice address
806 Glendale St
Jonesboro AR 72401-4455
Phone: (870) 933-9528
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X |
Profile Details
| NPI number | 1184757601 |
|---|---|
| LBN Legal business name | Ascent Acquisitions Corp-Cypdc |
| DBA Doing business as | Child & Youth Pediatric Day Clinic |
| Authorized official | Allgood, Holly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Apr 12th, 2012 - about 12 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 | 1184757601 | NPPES |
| Arkansas | Other | 5C363 | BCBS |
| Arkansas | MEDICAID | 160740526 | BCBS |
| Arkansas | MEDICAID | 160751724 | BCBS |
| Arkansas | MEDICAID | 160767742 | BCBS |
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