Kidscorp Of Fayetteville, Inc

LBN: Kidscorp Of Fayetteville, Inc
Kidscorp Of Fayetteville, Inc is an health care organization with primary practice located at 2210 Main Dr , Springdale AR 72762-6802. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Kidscorp Of Fayetteville, Inc can be contacted via phone (479) 856-6397, or through Wilkerson, Shelia D. via phone (479) 986-5150.

Contact Information

Primary practice address
2210 Main Dr Springdale AR 72762-6802
Phone: (479) 856-6397
Fax: (479) 856-6412
Website:
Map and Directions
Authorized official contact:
Name: Wilkerson, Shelia D. MS, PT
Phone: (479) 986-5150

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 28786 Arkansas

Profile Details

NPI number 1790124659
LBN Legal business name Kidscorp Of Fayetteville, Inc
DBA Doing business as
Authorized official Wilkerson, Shelia D. MS, PT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2013
Last updated Oct 25th, 2017 - about 7 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 1790124659 NPPES
Arkansas MEDICAID 198277724

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