Hamburg Health Clinic

LBN: Crossett Health Foundation
Hamburg Health Clinic is an health care organization with primary practice located at 319 W Parker St , Hamburg AR 71646-3121. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Crossett Health Foundation can be contacted via phone (870) 853-8271, or through Gilmore, Phillip K via phone (870) 364-1271.

Contact Information

Primary practice address
319 W Parker St Hamburg AR 71646-3121
Phone: (870) 853-8271
Fax: (870) 364-1245
Website:
Map and Directions
Authorized official contact:
Name: Gilmore, Phillip K
Phone: (870) 364-1271

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1093084808
LBN Legal business name Crossett Health Foundation
DBA Doing business as Hamburg Health Clinic
Authorized official Gilmore, Phillip K
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 22nd, 2011
Last updated Apr 9th, 2013 - about 12 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 1093084808 NPPES
Arkansas Other 54255 BLUE CROSS
Arkansas MEDICAID 163845729 BLUE CROSS

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