Mccrory Family Clinic Pa

LBN: Mccrory Family Clinic Pa
Mccrory Family Clinic Pa is an health care organization with primary practice located at 908 N Edmonds Ave , Mccrory AR 72101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Mccrory Family Clinic Pa can be contacted via phone (870) 731-1100, or through Wilson, Fred E via phone (870) 731-1100.

Contact Information

Primary practice address
908 N Edmonds Ave Mccrory AR 72101
Fax: (870) 731-1019
Website:
Authorized official contact:
Name: Wilson, Fred E Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X MC-1803 Arkansas

Profile Details

NPI number 1972613743
LBN Legal business name Mccrory Family Clinic Pa
DBA Doing business as
Authorized official Wilson, Fred E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 9th, 2008 - about 16 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 1972613743 NPPES
Arkansas Other CI5031 RAILROAD MEDICARE
Arkansas MEDICAID 134474729 RAILROAD MEDICARE
Arkansas MEDICAID 134056002 RAILROAD MEDICARE

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