Watson Chapel Family Clinic

LBN: Jefferson Hospital Association Inc
Watson Chapel Family Clinic is an health care organization with primary practice located at 4747 Dusty Lake Dr Suite 202, Pine Bluff AR 71603-8742. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jefferson Hospital Association Inc can be contacted via phone (870) 879-3517, or through Smithey, Narda Jo via phone (870) 879-3517.

Contact Information

Primary practice address
4747 Dusty Lake Dr Suite 202 Pine Bluff AR 71603-8742
Fax: (870) 879-6049
Website:
Authorized official contact:
Name: Smithey, Narda Jo

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1831130764
LBN Legal business name Jefferson Hospital Association Inc
DBA Doing business as Watson Chapel Family Clinic
Authorized official Smithey, Narda Jo
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 20th, 2008 - about 17 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 1831130764 NPPES
Other CU0295 RAILROAD MEDICARE

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