Cardiology And Medicine Clinic P A

LBN: Cardiology And Medicine Clinic P A
Cardiology And Medicine Clinic P A is an health care organization with primary practice located at 5315 W 12Th St , Little Rock AR 72204-1858. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Cardiology And Medicine Clinic P A can be contacted via phone (501) 664-0941, or through Smith, Alicia Ferguson via phone (501) 664-0941.

Contact Information

Primary practice address
5315 W 12Th St Little Rock AR 72204-1858
Phone: (501) 664-0941
Fax: (501) 666-3956
Website:
Map and Directions
Authorized official contact:
Name: Smith, Alicia Ferguson
Phone: (501) 664-0941

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1679567408
LBN Legal business name Cardiology And Medicine Clinic P A
DBA Doing business as
Authorized official Smith, Alicia Ferguson
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 18th, 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 1679567408 NPPES
Arkansas MEDICAID 145330002
Arkansas Other D9086
Arkansas Other 5B371

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