Main Street Medical

LBN: Mcgehee Desha Co Hospital
Main Street Medical is an health care organization with primary practice located at 206 S 1St St , Mcgehee AR 71654-2339. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Mcgehee Desha Co Hospital can be contacted via phone (870) 222-3644, or through Go, Peter Kong via phone (870) 222-3644.

Contact Information

Primary practice address
206 S 1St St Mcgehee AR 71654-2339
Phone: (870) 222-3644
Fax: (870) 222-3682
Website:
Map and Directions
Authorized official contact:
Name: Go, Peter Kong Doctor of Medicine (MD)
Phone: (870) 222-3644

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X R3053 Arkansas

Profile Details

NPI number 1033247176
LBN Legal business name Mcgehee Desha Co Hospital
DBA Doing business as Main Street Medical
Authorized official Go, Peter Kong Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Aug 22nd, 2020 - 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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