Icm

LBN: Independent Case Management, Inc.
Icm is an health care organization with primary practice located at 1525 Merrill Drive , Little Rock AR 72211-1821. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Independent Case Management, Inc. can be contacted via phone (501) 228-0063, or through Wilson, Josh via phone (501) 228-0063.

Contact Information

Primary practice address
1525 Merrill Drive Little Rock AR 72211-1821
Fax: (501) 228-0070
Website:
Authorized official contact:
Name: Wilson, Josh PH.D.

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1962547745
LBN Legal business name Independent Case Management, Inc.
DBA Doing business as Icm
Authorized official Wilson, Josh PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated May 7th, 2021 - about 3 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 1962547745 NPPES
Arkansas MEDICAID 196924706
Arkansas MEDICAID 129558732
Arkansas MEDICAID 129701767
Arkansas Other 132608786
Arkansas MEDICAID 130082782
Arkansas MEDICAID 125831774
Arkansas MEDICAID 134456775
Arkansas MEDICAID 193204724

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