Forrest City Family Practice Clinic, Pa
LBN: Forrest City Family Practice Clinic, Pa
Forrest City Family Practice Clinic, Pa is an health care organization with primary practice located at 902 Holiday Dr Suite 101, Forrest City AR 72335-9183. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty.
Forrest City Family Practice Clinic, Pa can be contacted via phone (870) 630-1256, or through Byrd, Neida via phone (901) 737-3071.
Contact Information
Primary practice address
902 Holiday Dr Suite 101
Forrest City AR 72335-9183
Phone: (870) 630-1256
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | R3762 | Arkansas |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | R3762 | Arkansas |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | R3762 | Arkansas |
Profile Details
| NPI number | 1649396979 |
|---|---|
| LBN Legal business name | Forrest City Family Practice Clinic, Pa |
| DBA Doing business as | |
| Authorized official | Byrd, Neida |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Dec 1st, 2011 - about 13 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 | 1649396979 | NPPES |
| Arkansas | Other | R3762 | BCBS GROUP ID |
| Arkansas | Other | 51280 | BCBS GROUP ID |
| Arkansas | MEDICAID | 113530001 | BCBS GROUP ID |
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