Gustavus Family Clinic

LBN: Gustavus Family Clinic
Gustavus Family Clinic is an health care organization with primary practice located at 7418 N Hills Blvd , North Little Rock AR 72116-4525. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Gustavus Family Clinic can be contacted via phone (501) 833-0177, or through Gustavus, John L via phone (501) 833-0177.

Contact Information

Primary practice address
7418 N Hills Blvd North Little Rock AR 72116-4525
Phone: (501) 833-0177
Fax: (501) 833-0223
Website:
Map and Directions
Authorized official contact:
Name: Gustavus, John L Doctor of Medicine (MD)
Phone: (501) 833-0177

Health care specialties

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

Profile Details

NPI number 1467692103
LBN Legal business name Gustavus Family Clinic
DBA Doing business as
Authorized official Gustavus, John L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2009
Last updated Mar 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467692103 NPPES
Arkansas Other 52054C761 BCBS OF AR

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