Emergency Medicine Of Northwest Arkansas, Llc
LBN: Emergency Medicine Of Northwest Arkansas, Llc
Emergency Medicine Of Northwest Arkansas, Llc is an health care organization with primary practice located at 3873 North Parkview Drive , Fayetteville AR 72703. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty.
Emergency Medicine Of Northwest Arkansas, Llc can be contacted via phone (479) 466-0432, or through Audibert, Jeff M via phone (479) 633-4102.
Contact Information
Primary practice address
3873 North Parkview Drive
Fayetteville AR 72703
Phone: (479) 466-0432
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | Arkansas | |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X |
Profile Details
| NPI number | 1538486113 |
|---|---|
| LBN Legal business name | Emergency Medicine Of Northwest Arkansas, Llc |
| DBA Doing business as | |
| Authorized official | Audibert, Jeff M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 22nd, 2010 |
| Last updated | Nov 18th, 2016 - about 8 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 | 1538486113 | NPPES |
| Arkansas | MEDICAID | 183700002 | |
| Arkansas | Other | 5G278 |
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