Conway Childrens Clinic Pa Corp

LBN: Conway Childrens Clinic Pa Corp
Conway Childrens Clinic Pa Corp is an health care organization with primary practice located at 2505 College Ave , Conway AR 72034. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Conway Childrens Clinic Pa Corp can be contacted via phone (501) 327-6000, or through Connaughton, Michael A via phone (501) 327-6000.

Contact Information

Primary practice address
2505 College Ave Conway AR 72034
Phone: (501) 327-6000
Fax: (501) 450-7559
Website:
Map and Directions
Authorized official contact:
Name: Connaughton, Michael A Doctor of Medicine (MD)
Phone: (501) 327-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1033170261
LBN Legal business name Conway Childrens Clinic Pa Corp
DBA Doing business as
Authorized official Connaughton, Michael A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Feb 7th, 2011 - about 13 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 1033170261 NPPES
Arkansas Other 57800 BLUE CROSS
Arkansas MEDICAID 115903002 BLUE CROSS

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