Lawrence Memorial Physician Group

LBN: Lawrence Memorial Health Foundation Inc.
Lawrence Memorial Physician Group is an health care organization with primary practice located at 1309 W Main St , Walnut Ridge AR 72476-1430. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Lawrence Memorial Health Foundation Inc. can be contacted via phone (870) 886-1252, or through Wagner, Vanessa K via phone (870) 886-1263.

Contact Information

Primary practice address
1309 W Main St Walnut Ridge AR 72476-1430
Phone: (870) 886-1252
Fax: (870) 886-3388
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Vanessa K
Phone: (870) 886-1263

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X AR38420 Arkansas

Profile Details

NPI number 1962626770
LBN Legal business name Lawrence Memorial Health Foundation Inc.
DBA Doing business as Lawrence Memorial Physician Group
Authorized official Wagner, Vanessa K
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 21st, 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 1962626770 NPPES
Arkansas MEDICAID 103154002

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