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:
Map and Directions
Authorized official contact:
Name: Ralston, Curtis D
Phone: (479) 274-2000

Health care specialties

SpecialtyCodeLicense #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 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 1154341931 NPPES
Arkansas MEDICAID 105693002
Arkansas Other C50280

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