Lee County Cooperative Clinic

LBN: Lee County Cooperative Clinic
Lee County Cooperative Clinic is an health care organization with primary practice located at 530 West Atkins Blvd , Marianna AR 72360-2113. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Lee County Cooperative Clinic can be contacted via phone (870) 295-5225, or through Hall, Ossie M via phone (870) 295-5225.

Contact Information

Primary practice address
530 West Atkins Blvd Marianna AR 72360-2113
Phone: (870) 295-5225
Fax: (870) 295-6900
Website:
Map and Directions
Authorized official contact:
Name: Hall, Ossie M
Phone: (870) 295-5225

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1669480836
LBN Legal business name Lee County Cooperative Clinic
DBA Doing business as
Authorized official Hall, Ossie M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Sep 21st, 2021 - about 4 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 1669480836 NPPES
Arkansas MEDICAID 117597749
Arkansas Other 5G122

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