First Care Family Medicine-Mena Pllc

LBN: First Care Family Medicine-Mena Pllc
First Care Family Medicine-Mena Pllc is an health care organization with primary practice located at 1706 Highway 71 N , Mena AR 71953-8917. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. First Care Family Medicine-Mena Pllc can be contacted via phone (501) 625-7500, or through Southerland, Brenda Larie via phone (501) 625-7500.

Contact Information

Primary practice address
1706 Highway 71 N Mena AR 71953-8917
Fax: (501) 625-7777
Website:
Authorized official contact:
Name: Southerland, Brenda Larie

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1619410040
LBN Legal business name First Care Family Medicine-Mena Pllc
DBA Doing business as
Authorized official Southerland, Brenda Larie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2016
Last updated Feb 5th, 2020 - about 5 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 1619410040 NPPES
Arkansas MEDICAID 225469002

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