Heart Clinic Arkansas

LBN: Heart Clinic Arkansas
Heart Clinic Arkansas is an health care organization with primary practice located at 10100 Kanis Rd , Little Rock AR 72205-6202. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Heart Clinic Arkansas can be contacted via phone (501) 255-6000, or through Jordan, Randy A via phone (501) 255-6000.

Contact Information

Primary practice address
10100 Kanis Rd Little Rock AR 72205-6202
Fax: (501) 255-6400
Website:
Authorized official contact:
Name: Jordan, Randy A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1053367508
LBN Legal business name Heart Clinic Arkansas
DBA Doing business as
Authorized official Jordan, Randy A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Jan 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053367508 NPPES
Arkansas MEDICAID 136666002
Arkansas Other 04D0978456

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