Pediatric Specialty Care

LBN: Ascent Acquisitions Corp-Psc
Pediatric Specialty Care is an health care organization with primary practice located at 413 W Tyler Ave , West Memphis AR 72301-4149. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Ascent Acquisitions Corp-Psc can be contacted via phone (870) 733-1200, or through Allgood, Holly via phone (870) 819-0232.

Contact Information

Primary practice address
413 W Tyler Ave West Memphis AR 72301-4149
Phone: (870) 733-1200
Fax: (870) 732-3269
Website:
Map and Directions
Authorized official contact:
Name: Allgood, Holly
Phone: (870) 819-0232

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1861525826
LBN Legal business name Ascent Acquisitions Corp-Psc
DBA Doing business as Pediatric Specialty Care
Authorized official Allgood, Holly
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Nov 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861525826 NPPES
Arkansas MEDICAID 160783526
Arkansas Other 5C082
Arkansas MEDICAID 160823742
Arkansas MEDICAID 161357724

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