Child & Youth Pediatric Day Clinic

LBN: Child & Youth Pediatric Day Clinic
Child & Youth Pediatric Day Clinic is an health care organization with primary practice located at 806 Glendale St , Jonesboro AR 72401-4455. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Child & Youth Pediatric Day Clinic can be contacted via phone (870) 933-9528, or through Hogard, Amber via phone (870) 933-9528.

Contact Information

Primary practice address
806 Glendale St Jonesboro AR 72401-4455
Phone: (870) 933-9528
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hogard, Amber
Phone: (870) 933-9528

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1649593187
LBN Legal business name Child & Youth Pediatric Day Clinic
DBA Doing business as
Authorized official Hogard, Amber
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2010
Last updated Mar 11th, 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 1649593187 NPPES
Arkansas MEDICAID 160767742
Arkansas MEDICAID 160740526
Arkansas MEDICAID 160751724

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