Mtn Home Medical Group Pa

LBN: Mountain-Home Medical Group, Pa
Mtn Home Medical Group Pa is an health care organization with primary practice located at 353 East 8Th Street , Mountain Home AR 72653. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Mountain-Home Medical Group, Pa can be contacted via phone (870) 425-3125, or through Cheney, Maxwell G via phone (870) 425-3125.

Contact Information

Primary practice address
353 East 8Th Street Mountain Home AR 72653
Phone: (870) 425-3125
Fax: (870) 424-5059
Website:
Map and Directions
Authorized official contact:
Name: Cheney, Maxwell G Doctor of Medicine (MD)
Phone: (870) 425-3125

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MC0049 Arkansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MC0049 Arkansas

Profile Details

NPI number 1225087398
LBN Legal business name Mountain-Home Medical Group, Pa
DBA Doing business as Mtn Home Medical Group Pa
Authorized official Cheney, Maxwell G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Apr 14th, 2011 - about 14 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 1225087398 NPPES
Arkansas MEDICAID 101002002

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