Lockesburg Family Clinic

LBN: Iti Chito Enterprises Inc
Lockesburg Family Clinic is an health care organization with primary practice located at 500 E Collin Raye Dr Ste 2 , De Queen AR 71832-8068. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Iti Chito Enterprises Inc can be contacted via phone (870) 642-7257, or through Griffin, Rusty Lynn via phone (501) 765-0275.

Contact Information

Primary practice address
500 E Collin Raye Dr Ste 2 De Queen AR 71832-8068
Phone: (870) 642-7257
Fax: (870) 642-5015
Website:
Map and Directions
Authorized official contact:
Name: Griffin, Rusty Lynn
Phone: (501) 765-0275

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1912679549
LBN Legal business name Iti Chito Enterprises Inc
DBA Doing business as Lockesburg Family Clinic
Authorized official Griffin, Rusty Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2021
Last updated Apr 1st, 2022 - 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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