Evergreen Internal Medicine Pllc

LBN: Evergreen Internal Medicine Pllc
Evergreen Internal Medicine Pllc is an health care organization with primary practice located at 1100 N University Ave Suite 125, Little Rock AR 72207-6343. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Evergreen Internal Medicine Pllc can be contacted via phone (501) 664-1540, or through Henry, Robert A via phone (501) 664-1540.

Contact Information

Primary practice address
1100 N University Ave Suite 125 Little Rock AR 72207-6343
Phone: (501) 664-1540
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henry, Robert A Doctor of Medicine (MD)
Phone: (501) 664-1540

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1801017595
LBN Legal business name Evergreen Internal Medicine Pllc
DBA Doing business as
Authorized official Henry, Robert A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Oct 21st, 2009 - about 15 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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