James T. Meredith Jr Md Pa

LBN: James T. Meredith Jr Md Pa
James T. Meredith Jr Md Pa is an health care organization with primary practice located at 921 Holiday Dr , Forrest City AR 72335-9183. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. James T. Meredith Jr Md Pa can be contacted via phone (870) 633-4711, or through Meredith, James Therold via phone (870) 633-4711.

Contact Information

Primary practice address
921 Holiday Dr Forrest City AR 72335-9183
Phone: (870) 633-4711
Fax: (870) 633-4850
Website:
Map and Directions
Authorized official contact:
Name: Meredith, James Therold Doctor of Medicine (MD)
Phone: (870) 633-4711

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X MC0977 Arkansas

Profile Details

NPI number 1164491767
LBN Legal business name James T. Meredith Jr Md Pa
DBA Doing business as
Authorized official Meredith, James Therold Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Sep 24th, 2020 - about 5 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 1164491767 NPPES
Arkansas MEDICAID 106020002
Arkansas Other DG5130

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