Cooper Clinic, Pa

LBN: Cooper Clinic, Pa
Cooper Clinic, Pa is an health care organization with primary practice located at 6801 Rogers Ave , Fort Smith AR 72903-4067. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Cooper Clinic, Pa can be contacted via phone (479) 274-2004, or through Astin, Melissa G via phone (479) 274-2024.

Contact Information

Primary practice address
6801 Rogers Ave Fort Smith AR 72903-4067
Phone: (479) 274-2004
Fax: (479) 274-2024
Website:
Map and Directions
Authorized official contact:
Name: Astin, Melissa G
Phone: (479) 274-2024

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X MC-0254 Arkansas

Profile Details

NPI number 1073698478
LBN Legal business name Cooper Clinic, Pa
DBA Doing business as
Authorized official Astin, Melissa G
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 28th, 2015 - about 9 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 1073698478 NPPES
Arkansas MEDICAID 110161709
Arkansas Other 690001634

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