Cb King Uam Campus

LBN: Cb King Uam Campus
Cb King Uam Campus is an health care organization with primary practice located at 1711 East Ash Street , Mcgehee AR 71654. 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 Uam Campus can be contacted via phone (870) 222-6589, or through Gregory, Sherry J via phone (870) 222-4544.

Contact Information

Primary practice address
1711 East Ash Street Mcgehee AR 71654
Phone: (870) 222-6589
Fax: (870) 222-3361
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 1043536063
LBN Legal business name Cb King Uam Campus
DBA Doing business as
Authorized official Gregory, Sherry J
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2010
Last updated Apr 15th, 2010 - about 14 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 1043536063 NPPES
Arkansas MEDICAID 180540724

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