Harrison Pediatrics

LBN: Harrison Pediatrics
Harrison Pediatrics is an health care organization with primary practice located at 1418 Mccoy Dr , Harrison AR 72601-2411. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Harrison Pediatrics can be contacted via phone (870) 391-5903, or through Ghosh, Soma via phone (870) 391-5903.

Contact Information

Primary practice address
1418 Mccoy Dr Harrison AR 72601-2411
Phone: (870) 391-5903
Fax: (870) 743-4641
Website:
Map and Directions
Authorized official contact:
Name: Ghosh, Soma
Phone: (870) 391-5903

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X MC-3097 Arkansas

Profile Details

NPI number 1467817148
LBN Legal business name Harrison Pediatrics
DBA Doing business as
Authorized official Ghosh, Soma
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2015
Last updated Dec 22nd, 2015 - about 9 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 1467817148 NPPES
Arkansas MEDICAID 210549002

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