Fair Park Medical Clinic

LBN: Fair Park Medical Clinic
Fair Park Medical Clinic is an health care organization with primary practice located at 5320 W 12Th St , Little Rock AR 72204-1859. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Fair Park Medical Clinic can be contacted via phone (501) 663-6262, or through Johnson, Carl Lynn via phone (501) 663-6262.

Contact Information

Primary practice address
5320 W 12Th St Little Rock AR 72204-1859
Phone: (501) 663-6262
Fax: (501) 663-3189
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Carl Lynn Doctor of Medicine (MD)
Phone: (501) 663-6262

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MC2208 Arkansas

Profile Details

NPI number 1740481191
LBN Legal business name Fair Park Medical Clinic
DBA Doing business as Fair Park Medical Clinic
Authorized official Johnson, Carl Lynn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Aug 22nd, 2020 - about 4 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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