Jimmerson Family Health Care P.A.
LBN: Jimmerson Family Health Care P.A.
Jimmerson Family Health Care P.A. is an health care organization with primary practice located at 6917 Geyer Springs Rd Suite 4S, Little Rock AR 72209-2727. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Jimmerson Family Health Care P.A. can be contacted via phone (501) 569-9961, or through Jimmerson, Robert Tyray via phone (501) 569-9961.
Contact Information
Primary practice address
6917 Geyer Springs Rd Suite 4S
Little Rock AR 72209-2727
Phone: (501) 569-9961
Fax: (501) 569-9903
Website:
Authorized official contact:
Name: Jimmerson, Robert Tyray Doctor of Medicine (MD)
Phone: (501) 569-9961
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-1845 | Arkansas |
Profile Details
| NPI number | 1649496357 |
|---|---|
| LBN Legal business name | Jimmerson Family Health Care P.A. |
| DBA Doing business as | |
| Authorized official | Jimmerson, Robert Tyray Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | May 6th, 2008 - about 16 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 | 1649496357 | NPPES |
| Arkansas | Other | 18321000000 | QUAL CHOICE |
| Arkansas | MEDICAID | 135241001 | QUAL CHOICE |
| Arkansas | Other | 2451550 | QUAL CHOICE |
| Arkansas | Other | 2717169 | QUAL CHOICE |
| Arkansas | Other | 5K890 | QUAL CHOICE |
| Arkansas | Other | 080158974 | QUAL CHOICE |
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