Crestpark Forrest City, Llc

LBN: Crestpark Forrest City, Llc
Crestpark Forrest City, Llc is an health care organization with primary practice located at 500 Kittle Rd , Forrest City AR 72335-2417. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Crestpark Forrest City, Llc can be contacted via phone (870) 633-4260, or through Belew, Barbara via phone (501) 626-7986.

Contact Information

Primary practice address
500 Kittle Rd Forrest City AR 72335-2417
Phone: (870) 633-4260
Fax: (870) 633-1486
Website:
Map and Directions
Authorized official contact:
Name: Belew, Barbara
Phone: (501) 626-7986

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 638 Arkansas

Profile Details

NPI number 1417102468
LBN Legal business name Crestpark Forrest City, Llc
DBA Doing business as
Authorized official Belew, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2008
Last updated Nov 18th, 2008 - about 17 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 1417102468 NPPES
Arkansas Other 015219 BCBS PROVIDER NUMBER
Arkansas MEDICAID PENDING BCBS PROVIDER NUMBER

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