Harrison Family Practice Clinic, Pa

LBN: Harrison Family Practice Clinic, Pa
Harrison Family Practice Clinic, Pa is an health care organization with primary practice located at 715 W Sherman Ave Suite G, Harrison AR 72601-2743. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Harrison Family Practice Clinic, Pa can be contacted via phone (870) 741-8247, or through Maris, Mahlon Ogden via phone (870) 741-8247.

Contact Information

Primary practice address
715 W Sherman Ave Suite G Harrison AR 72601-2743
Phone: (870) 741-8247
Fax: (870) 741-3933
Website:
Map and Directions
Authorized official contact:
Name: Maris, Mahlon Ogden Doctor of Medicine (MD)
Phone: (870) 741-8247

Health care specialties

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

Profile Details

NPI number 1093781825
LBN Legal business name Harrison Family Practice Clinic, Pa
DBA Doing business as
Authorized official Maris, Mahlon Ogden Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1093781825 NPPES
Arkansas Other 1028 HEALTH SOURCE

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