Cb King Jm

LBN: Cb King Jm
Cb King Jm is an health care organization with primary practice located at 1109 North School , Dermott AR 71638-0000. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Cb King Jm can be contacted via phone (870) 538-9659, or through Gregory, Orby Gene via phone (870) 222-4544.

Contact Information

Primary practice address
1109 North School Dermott AR 71638-0000
Phone: (870) 538-9659
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gregory, Orby Gene
Phone: (870) 222-4544

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 27992 Arkansas

Profile Details

NPI number 1609298306
LBN Legal business name Cb King Jm
DBA Doing business as
Authorized official Gregory, Orby Gene
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2014
Last updated Jan 15th, 2014 - about 10 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 1609298306 NPPES
Arkansas MEDICAID 19554724

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