Lakeside Walk-In Clinic Pllc

LBN: Lakeside Walk-In Clinic Pllc
Lakeside Walk-In Clinic Pllc is an health care organization with primary practice located at 2230 Malvern Ave Ste E , Hot Springs AR 71901-8000. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Lakeside Walk-In Clinic Pllc can be contacted via phone (501) 781-3612, or through Ennis, Ernest R via phone (501) 844-7020.

Contact Information

Primary practice address
2230 Malvern Ave Ste E Hot Springs AR 71901-8000
Phone: (501) 781-3612
Fax: (501) 781-3618
Website:
Map and Directions
Authorized official contact:
Name: Ennis, Ernest R Physician's Assistant Certified (PA-C)
Phone: (501) 844-7020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X Arkansas

Profile Details

NPI number 1205345154
LBN Legal business name Lakeside Walk-In Clinic Pllc
DBA Doing business as
Authorized official Ennis, Ernest R Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2017
Last updated Jun 16th, 2018 - about 6 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 1205345154 NPPES
Arkansas MEDICAID 11111

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