Family Choice Nutrition

LBN: Med South Medical Inc
Family Choice Nutrition is an health care organization with primary practice located at 6415 Witt Ln Ste B , North Little Rock AR 72118-2475. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. Med South Medical Inc can be contacted via phone (501) 753-9393, or through Graham, Billie via phone (501) 753-9393.

Contact Information

Primary practice address
6415 Witt Ln Ste B North Little Rock AR 72118-2475
Phone: (501) 753-9393
Fax: (501) 753-9396
Website:
Map and Directions
Authorized official contact:
Name: Graham, Billie
Phone: (501) 753-9393

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 31541360001 Arkansas

Profile Details

NPI number 1194837229
LBN Legal business name Med South Medical Inc
DBA Doing business as Family Choice Nutrition
Authorized official Graham, Billie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 8th, 2010 - about 15 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 1194837229 NPPES
Arkansas MEDICAID 163802716

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