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 Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Cooper Clinic Pa can be contacted via phone (479) 274-3500, or through Ralston, Curtis via phone (479) 274-2000.

Contact Information

Primary practice address
6801 Rogers Ave Fort Smith AR 72903-4067
Phone: (479) 274-3500
Fax: (479) 274-3599
Website:
Map and Directions
Authorized official contact:
Name: Ralston, Curtis
Phone: (479) 274-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MC-0254 Arkansas

Profile Details

NPI number 1700099074
LBN Legal business name Cooper Clinic Pa
DBA Doing business as
Authorized official Ralston, Curtis
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700099074 NPPES
Arkansas MEDICAID 125018002

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