Infectious Disease Specialists Of Northwest Arkansas
LBN: Infectious Disease Specialists Of Northwest Arkansas
Infectious Disease Specialists Of Northwest Arkansas is an health care organization with primary practice located at 4038 N Remington Dr Ste 4 , Fayetteville AR 72703-6314. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Infectious Disease Specialists Of Northwest Arkansas can be contacted via phone (479) 444-6522, or through Hennigan, Stephen Hall via phone (479) 444-6522.
Contact Information
Primary practice address
4038 N Remington Dr Ste 4
Fayetteville AR 72703-6314
Phone: (479) 444-6522
Fax: (479) 444-9426
Website:
Authorized official contact:
Name: Hennigan, Stephen Hall Doctor of Medicine (MD)
Phone: (479) 444-6522
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E0104 | Arkansas |
Profile Details
| NPI number | 1558445080 |
|---|---|
| LBN Legal business name | Infectious Disease Specialists Of Northwest Arkansas |
| DBA Doing business as | |
| Authorized official | Hennigan, Stephen Hall Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Apr 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558445080 | NPPES |
| Arkansas | Other | 5F046 | BLUE CROSS |
| Arkansas | MEDICAID | 125127001 | BLUE CROSS |
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