Mmc-Star City Satellite Clinic

LBN: Monticello Medical Clinic, Plc
Mmc-Star City Satellite Clinic is an health care organization with primary practice located at 1306 N. Lincoln Avenue , Star City AR 71667. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Monticello Medical Clinic, Plc can be contacted via phone (870) 628-1388, or through Simon, Sylvia via phone (870) 367-6867.

Contact Information

Primary practice address
1306 N. Lincoln Avenue Star City AR 71667
Phone: (870) 628-1388
Fax: (870) 628-1347
Website:
Map and Directions
Authorized official contact:
Name: Simon, Sylvia Doctor of Medicine (MD)
Phone: (870) 367-6867

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MC-1891 Arkansas

Profile Details

NPI number 1982193975
LBN Legal business name Monticello Medical Clinic, Plc
DBA Doing business as Mmc-Star City Satellite Clinic
Authorized official Simon, Sylvia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 4th, 2018
Last updated May 4th, 2018 - about 7 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 1982193975 NPPES
Arkansas MEDICAID 139812002

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