Little Rock Pediatric Clinic

LBN: Little Rock Pediatric Group
Little Rock Pediatric Clinic is an health care organization with primary practice located at 500 S University Ave Ste 615 , Little Rock AR 72205-5308. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Little Rock Pediatric Group can be contacted via phone (501) 664-4044, or through Varner, Jo Lynne via phone (501) 664-4044.

Contact Information

Primary practice address
500 S University Ave Ste 615 Little Rock AR 72205-5308
Phone: (501) 664-4044
Fax: (501) 664-4064
Website:
Map and Directions
Authorized official contact:
Name: Varner, Jo Lynne MHSA
Phone: (501) 664-4044

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1457396780
LBN Legal business name Little Rock Pediatric Group
DBA Doing business as Little Rock Pediatric Clinic
Authorized official Varner, Jo Lynne MHSA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 5th, 2022 - about 2 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 1457396780 NPPES
Arkansas MEDICAID 145428002

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