Cbk Mother Goose

LBN: Cbk Mother Goose
Cbk Mother Goose is an health care organization with primary practice located at 239 Swanigan St , Eudora AR 71640-2437. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Cbk Mother Goose can be contacted via phone (870) 222-4544, or through Gregory, Sherry Jaggers via phone (870) 222-4544.

Contact Information

Primary practice address
239 Swanigan St Eudora AR 71640-2437
Phone: (870) 222-4544
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gregory, Sherry Jaggers
Phone: (870) 222-4544

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 12009 Arkansas

Profile Details

NPI number 1134482649
LBN Legal business name Cbk Mother Goose
DBA Doing business as
Authorized official Gregory, Sherry Jaggers
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2012
Last updated Jun 19th, 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 1134482649 NPPES
Arkansas MEDICAID 191863724

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