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 Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty.
Cooper Clinic Pa can be contacted via phone (479) 274-2000, or through Ralston, Curtis D via phone (479) 274-2000.
Contact Information
Primary practice address
6801 Rogers Ave
Fort Smith AR 72903-4067
Phone: (479) 274-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | MC-0254 | Arkansas |
Profile Details
| NPI number | 1154341931 |
|---|---|
| LBN Legal business name | Cooper Clinic Pa |
| DBA Doing business as | |
| Authorized official | Ralston, Curtis D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Sep 1st, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154341931 | NPPES |
| Arkansas | MEDICAID | 105693002 | |
| Arkansas | Other | C50280 |
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