Cb King Eudora Center

LBN: Cb King Eudora Center
Cb King Eudora Center is an health care organization with primary practice located at 114 N Main St , Eudora AR 71640-3037. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Cb King Eudora Center can be contacted via phone (870) 501-1629, or through Gregory, Sherry J. via phone (870) 222-4544.

Contact Information

Primary practice address
114 N Main St Eudora AR 71640-3037
Phone: (870) 501-1629
Fax: (870) 222-4557
Website:
Map and Directions
Authorized official contact:
Name: Gregory, Sherry J.
Phone: (870) 222-4544

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 01923 Arkansas

Profile Details

NPI number 1134445422
LBN Legal business name Cb King Eudora Center
DBA Doing business as
Authorized official Gregory, Sherry J.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2010
Last updated Apr 13th, 2010 - about 15 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 1134445422 NPPES
Arkansas MEDICAID 180546724

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